performance of the nhs provider sector year ended 31 march ... · performance of 1.06% at q4...

Performance of the NHS Provider Sector

year ended 31 March 2017

This report has been prepared using final audited accounts data

Contents

2

Summary 2.3 Pay and agency costs

1.0 Operational performance 2.4 Non-pay cost pressures

1.1 Operational performance overview 2.5 Cost improvement programmes

1.2 Accident & emergency (A&E) 2.6 Capital expenditure

1.3 Diagnostic waiting times 2.7 Year-end financial position

1.4 Elective waiting times 3.0 Financial performance by providers

1.5 Cancer waiting times 4.0 Operational performance by providers

1.6 Ambulance response times 5.0 Agency staff

1.7 Infection control End notes and glossary

2.0 Financial performance

2.1 Financial performance overview

2.2 Income & expenditure

Summary

• During 2016/17 the provider sector had to cope with extensive operational pressures including record numbers of ambulance call-outs

and patients attending accident and emergency departments, as the sector experienced exceptional levels of demand for Urgent and

Emergency Care. In response to this demand providers opened an additional 2,600 unfunded escalation beds over winter. This

intense pressure on emergency services had a marked adverse impact on elective care as work was displaced or cancelled due to the

lack of available beds, which affected patient treatment and resulted in a loss of income for most acute providers. This coupled with

increasingly constrained community and social care provision placed further operational and financial strain on the system. Delayed

transfers of care peaked in quarter 4 when 387,259 bed days were lost, which is 20.6% higher than the same period last year.

Collectively, providers failed to meet several key national healthcare standards.

• Despite these operational challenges and the additional financial strain on the system, providers reported a combined deficit of £791

million based on audited results. This was a £1.7 billion improvement on last year’s position (including STF) and £82 million better

than the sector’s forecast at Q3. This financial achievement was a result of tremendous efforts made by staff across the NHS in

England. Whilst the year-end outturn was £211 million worse than the aggregate provider plan of a deficit of £580 million, 177

providers met or exceeded the stretching plans set in 2016/17. This was positive news as many NHS providers managed to arrest the

aggressive deteriorating financial trend of recent years and delivered £3.1 billion of cost improvement in the face of significant cost and

operational pressures.

• As part of the 2016/17 financial reset, we worked with NHS England to design a Sustainability and Transformation Fund (STF). Access

to the fund was partly dependent on providers accepting and achieving a stretch financial control total. The financial objective was to

reduce the aggregate provider sector deficit to £580 million in 2016/17, down from £2.45 billion in the previous year and to stabilise the

sectors financial position. To achieve this, the provider sector had to go further and deliver more than the 2% efficiency included in

national tariffs. In total, 217 out of 228 trusts accepting their control totals benefited from the £1.8 billion STF, 176 outperformed

their control total enabling them to earn “pound for pound” STF incentive funds and 177 providers received bonus STF for delivering

their control total at the year end.

• This financial achievement is a clear demonstration of the level of effort made by providers. It is also a reflection of the positive

outcomes generated by a number of national programmes introduced by NHS Improvement. However, it is recognised that whilst 74%

of providers have delivered or exceeded their control total in 2016/17, for the majority this success has been dependent on a level of

non-recurrent items which do not address the longer term financial sustainability of many providers. NHS Improvement will continue to

support providers in the coming year, holding them to account in their efforts to further reduce the sector deficit, whilst maintaining

patient safety.

3

4

1.0 Operational Performance

1.1 Operational performance overview

5

Metrics Target NHS Improvement NHS England

Accident & emergency : January – March 2017

A&E attendances - 5,167,508 5,656,352

Performance – All A&E types (%) 95% 86.52% 87.63%

Performance – Acute trusts only (%) 95% 85.51% 85.51%

Type 1 performance (%) 95% 81.35% 81.35%

Diagnostics: at 31 March 2017

Number of diagnostic tests waiting 6 weeks+ (%) 1% 1.06% 1.06%

Referral to treatment (RTT) : at 31 March 2016

18 weeks incomplete (%) 92% 90.02% 90.29%

52-week waits (number) - 1,513 1,529

Cancer: January – March 2017

2-week GP referral to 1st outpatient, cancer (%) 93% 94.72% 94.73%

2-week referral to 1st outpatient - breast symptoms (%) 93% 92.95% 92.93%

31-day wait from diagnosis to first treatment (%) 96% 97.47% 97.47%

62-day urgent GP referral to treatment for all cancers (%) 85% 81.06% 81.08%

62-day referral from screening services 90% 91.17% 91.22%

Ambulance: January – March 2017

Red 1 Calls (%) 75% 68.85% 68.85%

Red 2 Calls (%) 75% 61.38% 61.38%

Category A Call - ambulance arrived within 19 mins (%) 95% 89.52% 89.52%

Infection control: January – March 2017

C. Difficile (Total cases) - 1,095 1,095

1.2 Accident & emergency

6

Percentage of A&E all type patients seen within 4 hours

Number of Trusts failing the 4 hour A&E target by month

• In Q4 2016/17 performance dropped to 86.52% (NHS England reported

performance was 87.63%). This quarter’s performance was well below the

level achieved in the same quarter last year (86.58%) and the 95% target.

• A&E performance in March 2017 was 89.15% which also remained below

the aggregate improvement trajectory of 93.57% set for Sustainability and

Transformation Fund (STF) in month twelve for the provider sector.

• Despite record numbers of attendances and emergency admissions in the

first three quarters, the level of A&E attendances of 5.17 million in Q4 was

a 2.3% reduction (like-for-like) on the same quarter last year and a

decrease of 3.6% compared to Q3 2016/17. However, the number of

patients attending a major (type 1) A&E department and requiring admitted

care was similar to the same quarter last year at 1.05 million, indicating

that pressures on the system remained.

• In total, A&E departments this year saw attendances increase by 3.0%

and admitted by 3.0% more patients than last year.

• Available beds to meet the admission demand continued to be constrained

due to high occupancy rates and delayed transfers of care this year which

have resulted in many patients requiring admission waiting significantly

longer in A&E departments for a bed. In Q4 2016/17, 177,317 patients

waited more than four hours for a bed, 14.2% more than a year ago. There

were also 387,259 bed days lost due to delayed transfers of care in acute

hospitals, an increase of 20.6% from a year ago.

• To support all providers, NHS Improvement has now come together with

NHS England to create a joint Urgent and Emergency Care Programme

under a single National Director. The programme will bring together all

UEC work across the organisations and wider system into a coherent

strategy to drive UEC transformation and A&E performance improvement.

At a regional level, NHS Improvement and NHS England Regional

Directors will be taking accountability on behalf of both organisations for

delivery in local systems, performance managing and supporting changes

and improvement.

1.3 Diagnostic waiting times

7

• Diagnostic waiting times are a key part in the delivery of the referral to

treatment (RTT) target as the majority of patients being referred for

hospital treatment will require a diagnostic test. The national waiting time

target for diagnostics states that less than 1% of patients should wait six

weeks or more for a test.

• At the end of Q4 2016/17, 890,404 patients were waiting for a diagnostic

test, an increase of 11.6% from the last quarter. Compared to the same

time last year, the waiting list has increased by 6.6% (like-for-like).

Despite this increase, fewer patients were waiting longer than six weeks.

Performance of 1.06% at Q4 2016/17 (NHS England performance was

also 1.06%) was a significant improvement compared to a performance of

1.77% at Q4 last year. Although performance improved, it remains below

the aggregate STF improvement trajectory of 0.85% for month 12 for the

provider sector.

• Providers in aggregate failed to achieve the waiting time standard for nine

of the 15 key diagnostic tests, two less than in the same period last year.

• The overall improvement in diagnostics performance has been driven by

a reduction in waiting times for endoscopy tests which contribute over

10% of the diagnostics waiting list. A national programme team has been

working with providers to address endoscopy performance and capacity

issues since the start of last year. In March 2017, 2.87% of patients were

waiting over six weeks for an endoscopy test compared to 5.69% a year

ago. To help increase capacity further, NHS Improvement is working with

Health Education England to launch the next stage of its programme to

train 200 additional Non-Medical Endoscopists by 2018.

• Non-obstetric ultrasound was the best performing test despite having the

largest waiting list (35.3% of the total diagnostics waiting list), with only

0.33% of patients waiting over six weeks at the end of the quarter.

Percentage of diagnostic patients waiting over 6 weeks

Diagnostic performance by procedures – March 2017

1.4 Elective waiting times

8

• NHS providers continue to fail to achieve the national RTT incomplete

standard target of 92%. Performance at the end of the quarter was

90.02% (NHS England performance was 90.29%) which represents the

lowest performance since providers started to underperform against the

target in December 2015. The performance was also well below the

aggregate STF improvement trajectory of 91.38% for NHS providers.

• Sustained high demand for emergency inpatient care this year has

resulted in many providers struggling to deliver their planned activity

due to elective capacity either being displaced or cancelled. In the

meantime, year-to-date GP referrals increased by 6.2% compared to

the same period last year. As a result, the elective waiting list reached a

record level of 3.55 million at the end of Q4 2016/17, an 6.2% increase

compared to a year ago (like-for-like and excluding providers which

have re-commenced reporting this year).

• In line with the drop in performance and the increase in the overall

waiting list, the number of patients waiting longer than 52 weeks for

treatment also increased. In March 2017, 1,513 patients were waiting

over a year for treatment compared to 865 in March 2016. Three

providers did not report incomplete RTT performance in March 2017, so

the actual number of over 52-week waiters could be significantly higher.

• The Intensive Support Team is continuing to support the most

challenged providers to improve performance by better aligning demand

and capacity. We are also supporting a national programme to improve

outpatient performance through agreeing pilot sites to use software to

improve patient flow and using digital channels to reduce demand and

improve access to services.

RTT 18 week performance and size of waiting list by month

Number of trusts failing RTT 18 week incomplete target by month

1.5 Cancer waiting times

9

62-day (urgent GP referral) wait for first treatment by month

62-day (urgent GP referral) wait for first treatment by specialty – Q4

2016/17

• All the cancer waiting-time standards were achieved in Q4 2016/17

except for the 62 day (urgent GP referral) waiting time target for first

treatment, which has not been delivered since Q3 2013/14.

• In response to increasing demand, more patients began treatment

this year. 35,846 patients began cancer treatment in Q4 2016/17,

8.9% more than in the same quarter last year.

• NHS providers failed to achieve the national target of 85% with a

performance of 81.1% in Q4 2016/17 (NHS England performance

was also 81.1%). This was below the performance achieved in the

same quarter last year (82.1%), and was still well below the

aggregate STF improvement trajectory of 85.8% for month 12 for the

provider sector.

• The specialties that contributed most to the underperformance in Q4

2016/17 were Urological (excluding testicular), Lower Gastrointestinal

and Lung. These specialities accounted for only 42% of activity, but

contributed to more than half of the reported breaches (60.1%).

• NHS Improvement has worked with partners to improve cancer

performance by reducing diagnostic delays. We are also continuing to

work with NHS England to introduce the 28 days faster diagnosis

standard for cancer patients. The standard is now being piloted at

test sites in preparation for national roll-out.

1.6 Ambulance response times

10

Category A Red 1 and Red 2 performance and volume of response

Category A19 performance and volume of responses

• The national standard states that 75% of calls, presenting conditions

which may be immediately life-threatening (Category A Red 1), or life-

threatening but less time-critical (Category A Red 2), should receive an

emergency response within eight minutes, and 95% of all Category A

responses requiring an ambulance, should be reached within 19

minutes.

• Ambulance services continue to fail the Red 1, Red 2 and 19 minutes

response-time targets with performance of 67.13%, 61.57% and 89.38%

respectively. In Q4 2016/17, none of the eight ambulance services* that

submitted complete data achieved any of the three standards.

• Ambulance services saw an increase in time-critical and life-threatening

calls in Q4 2016/17. Ambulance services responded to 34,477 Red 1

calls in the quarter, an increase of 15.4% compared to the same quarter

last year. The number of Red 2 responses increased by 10.8%

compared to the same period last year.**

• Due to ‘dispatch-on-disposition’ pilots at a number of ambulance

services, a direct like-for-like performance comparison between Q4

2015/16 and Q4 2016/17 for the Red 2 and Category A standards cannot

be made. The pilots allow call handlers extra time to triage Red 2 calls,

and result in different clock start times. In February 2015, London

Ambulance Service and South Western Ambulance Service NHS

Foundation Trust implemented the pilot, and in October 2015 it was

introduced at four more ambulance trusts.

• In recent years, ambulance services also experienced difficulties in

recruiting and retaining paramedic staff which had an impact on their

operations. With effect from 1 January 2017, existing paramedic staff are

being re-banded from band 5 to band 6. It is anticipated that this will

result in improved recruitment and retention of paramedic staff with a

knock on improvement in ambulance trust performance.

* There are 11 ambulance services including 10 ambulance trusts as well as Isle of Wight NHS Trust. Three trusts (South Western Ambulance Service and Yorkshire Ambulance Service from April

2016, and West Midlands Ambulance Service from June 2016) have been piloting new call categorisations, and, therefore, have not been submitting data for Red 1, Red 2 and Cat A 19 minute

responses.

** Comparisons exclude South Western Ambulance Service, Yorkshire Ambulance Service and West Midlands Ambulance Service activity in Q2 2015/16 and Q2 2016/17.

1.7 Infection control

11

Clostridium Difficile (C. Diff)

• The number of trust apportioned C. Diff cases reported in Q4

2016/17 was 1,095 compared to 1,176 in the corresponding quarter

last year. This was a decrease of 6.9% from the same quarter last

year.

• Between April 2016 and March 2017, there were 4,634 C. Diff

cases reported, a reduction of 10.2% (525 cases) from the same

period last year.

Meticillin-resistant Staphylococcus Aureus (MRSA)

• 98 trust assigned MRSA cases were reported in Q4 2016/17

compared to 77 in the same quarter last year.

• Between April 2016 and March 2017, there were 314 MRSA cases

reported, an increase of 5.4% (16 cases) from the same period last

year.

Number of Meticillin-resistant Staphylococcus Aureus cases

reported

Number of Clostridium Difficile cases

12

2.0 Financial Performance

2.1 Financial performance overview

13

1. Surplus/(deficit) comparable to control totals are calculated as surplus/(deficit) before impairments, transfers, donated asset income, and donated asset depreciation for all

trusts. For non-FTs, IFRIC 12 adjustments are also deducted. For most FTs gains/(losses) on asset disposals are excluded (unless previously agreed)

2. For FTs, the sector reported surplus/(deficit) includes donated asset income, donated asset depreciation and gains/(losses) on asset disposals (unless previously agreed), as

these items have been excluded from the control total an adjustment is needed to add the figures back to provide the reported sector surplus/(deficit). This also includes the

NHS trust IFRIC12 adjustment for those trusts gaining FT status in year (NHS trust period only).

3. Change in Discount rate is an adjustment to reflect the impact on Trusts which could not have been planned at the start of the year. It was agreed with DH as it is neutral to

the national position

12 months ended 31 March 2017 by sector Number of

providers

Year End - Month 12 2016/17 2016/17 STF

Plan Actual Variance Deficit

providers

Distribution

of £1.8bn

STF

Of which

core STF

Of which,

incentive

STF

Of which,

bonus STF

No. £m £m £m No. £m £m £m £m

Acute 137 (878) (1,163) (285) 83 1,500 1,189 198 114

Ambulance 10 (7) 0 7 3 29 9 14 6

Community 18 25 11 (14) 3 34 20 4 10

Mental Health 56 61 162 101 12 158 64 53 41

Specialist 17 17 80 63 4 75 34 25 15

Total Surplus / (deficit) - control total 1 238 (782) (910) (128) 105 1,796 1,316 294 186

Technical adjustments - FT and part year NHS trusts 2 17 76 59

Reported Financial Position surplus / (deficit) (765) (834) (69) 1,796 1,316 294 186

Unallocated sustainability and transformation fund (STF) 185 (185)

Impact of change in discount rate on provisions3 43 43

Reported Financial Position surplus / (deficit) after STF (580) (791) (211) 1,796 1,316 294 186

12 months ended 31 March 2017 by region

Number

of

Providers

Year End - Month 12 2016/17 2016/17 STF

Plan Actual Variance Deficit

providers

Distribution

of £1.8bn

STF

Of which

core STF

Of which,

incentive

STF

Of which,

bonus STF

No. £m £m £m No. £m £m £m £m

London 36 (226) (235) (9) 15 365 240 93 33

Midlands and East 73 (512) (582) (70) 40 484 375 55 54

North 74 (39) 95 134 27 608 439 103 65

South 55 (5) (188) (183) 23 339 262 43 34

Total Surplus / (deficit) - control total 1 238 (782) (910) (128) 105 1,796 1,316 294 186

Technical adjustments - FT and part year NHS trusts 2 17 76 59

Reported Financial Position surplus / (deficit) (765) (834) (69) 1,796 1,316 294 186

Unallocated sustainability and transformation fund (STF) 185 (185)

Impact of change in discount rate on provisions3 43 43

Reported Financial Position surplus / (deficit) after STF (580) (791) (211) 1,796 1,316 294 186

2.2 Income & expenditure

14

• During the year, providers faced unrelenting demand for hospital-based

emergency and urgent care which resulted in unplanned cost pressures for

many providers. These pressures were further heightened over the winter

months as A&E demand reached a record level. Notwithstanding these

external challenges, many providers managed to stabilise or recover their

financial positions during the last quarter. This was achieved through a

number of short term actions outlined in our Q3 report which included

extending Financial Special Measure (FSM) and Financial Improvement

Programmes (FIP) to other providers that require intensive or targeted

support, recovering lost elective income during Q4, and managing the

disposal of surplus NHS properties/land at the best market value.

• This year, we have set tightening financial grip and control as a key priority

for the sector. One action we took was to introduce and agree a ‘financial

control total’ with individual trusts setting the minimum level of financial

performance. In total, 228 out of 238 providers accepted their controls totals,

of which 74% met or exceeded them, allowing full access to a £1.8 billion

Sustainability and Transformation Fund (STF). The extra funding this year

was aimed to support the overall sustainability of the provider sector by

rewarding good performance and improvement.

• In April, we returned £4 million of STF to the Department of Health to cover

the impact of associated PDC dividend, and distributed unearned and

uncommitted STF via incentives and bonus schemes. Following completion

of audits in May, there has been a movement in the reported financial

position of £56 million between draft and final accounts. Most of this was

related to deferred transactions at Royal Free NHS Foundation Trust (£47

million) and Royal Liverpool and Broadgreen University Hospitals NHS Trust

(£10 million). As a result, £21 million of STF was returned and reallocated

based on audited results and as a bonus payment to 49 trusts who had

outperformed their control totals by more than £1.5 million. In total, 217

(91%) trusts received STF in 2016/17, including 176 trusts receiving “pound

for pound” incentive money for exceeding their agreed control totals and 177

providers received bonus STF for achieving their control total at year end.

The full distribution of £1.8 billion STF can be found in the Appendix 3 of the

report.

12 months ended 31 March 2017

Year End - Month 12 2016/17

Plan Actual Variance

£m £m £m %

Operating revenue for EBITDA 78,953 80,394 1,441 2%

Pay (49,808) (50,619) (811) 2%

Other operating expenses (25,945) (27,032) (1,087) 4%

EBITDA 3,200 2,743 (457) (14%)

All other expenses not included in EBITDA (3,982) (3,653) 329 (8%)

Control total basis surplus / deficit) (782) (910) (128) 16%

Technical Adj. - FT and part year NHS trusts 17 76 59 347%

Provider reported financial position surplus / (deficit) (765) (834) (69) 9%

Unallocated sustainability and transformation fund 185 - (185) (100%)

Discount rate impact - 43 43

Sector reported financial position surplus / (deficit) (580) (791) (211) 36%

EBITDA % 4.1% 3.4%

Control Total Basis Surplus / (Deficit) (1.0%) (1.1%)


Year End - Month 12 2016/17

Acute Ambulance Community Mental

Health Specialist

£m £m £m £m £m

Operating Revenue for EBITDA 60,123 2,334 2,944 11,671 3,322

Pay (36,749) (1,609) (1,939) (8,459) (1,863)

Other Operating Expenses (21,698) (623) (918) (2,535) (1,258)

EBITDA 1,676 102 87 677 201

All other Expenses not included in

EBITDA (2,839) (102) (76) (515) (121)

Control Total Basis Surplus /

(Deficit) (1,163) - 11 162 80

EBITDA % 2.8% 4.4% 3.0% 5.8% 6.1%

Control Total Basis Surplus /

(Deficit) (1.9%) 0.0% 0.4% 1.4% 2.4%

• The provider sector has significantly cut its combined deficit from

£2.45 billion in 2015/16 to a deficit of £791 million in 2016/17 based on

final audited accounts. The substantial improvement across the sector

is a testament to providers’ commitment to continuous financial

improvement, as well as actions taken by NHS Improvement to help

providers tighten their financial grip and support the sectors return to a

sustainable financial footing.

2.3 Pay and agency costs

• Pay costs are the single biggest area of spend in the NHS, therefore

managing pay bill growth has been one of the top priorities for NHS

Improvement this year. In 2016/17, total pay bill reached £51 billion,

which was £811 million more than plan and £1.8 billion (3.8%) higher

than a year ago. Pay inflationary pressures were significant in 2016/17

with the combined impact of pay awards, pay drift and changes to

pensions adding an estimated 3.3% to costs. Taking these estimated

inflationary pressures into account the pay bill grew by 0.5% in real

terms in the context of a 2.4% growth in cost weighted activity.

• A review undertaken by NHS Improvement at the start of this financial

year showed that some providers’ pay growth was in excess of inflation

and pension effect. During the year, our regional teams worked with

these providers to review their pay growth. This was further aided by

our operational productivity team using a range of benchmarks and

support.

• One of the key contributing factors to the rising pay cost in recent time

has been the use of agency staff. Over the past three years, agency

expenditure has been growing at a rate of 25% per annum. Since

October 2015, we have introduced a series of control measures to

reverse this trend. This has led to agency staff costs falling from £3.6

billion in 2015/16 to £2.9 billion in 2016/17, with 85% of providers

reporting a year-on-year reduction in their agency expenditure.

• Reduction in agency staff costs is a huge achievement against the

record level of demand. However, there is further work to be done. For

example, providers were £559 million off plan and only 46 providers

met their agency ceilings. One cause was that the cost of medical

locums remained high. We recognise this was largely due to medical

staff shortage in emergency departments, and work is currently ongoing

with the Royal College of Emergency Medicine to address this. We are

also setting a £150 million year-on-year reduction target on medical

locums for 2017/18. In addition, we will continue to work with providers

to strengthen their existing workforce, and encourage staff back to the

NHS by offering more flexible working conditions.

15


Year to Date - Month 12 2016/17


£m £m £m %

Permanent & bank staff 47,432 47,684 252 0.5%

Agency & Contract staff 2,376 2,935 559 23.5%

Total 49,808 50,619 811 1.6%

Agency costs as a % of total pay costs 4.8% 5.8%

Performance against 2016/17 agency ceilings 2,445 2,935 489

No of trusts met 2016/17 agency ceilings 46

2.4 Non-pay cost pressures

16

• Acute activity in 2016/17 grew by 2.4% on a cost weighted basis

compared to last year. This has put many providers under significant

pressure. The volume factor coupled with rising costs has led to an

adverse variance of £1.1 billion (4.2%) being reported for non-pay

items. In particular, annual spending on drugs, both clinical and general

supplies and premises have significantly exceeded plan by £139 million,

£343 million and £382 million respectively.

• The record level of urgent and emergency demand has resulted in

capacity constraint. Many providers deployed waiting list initiative

sessions or outsourcing to manage elective demand. In 2016/17,

providers spent £209 million on waiting list initiatives and £381 million

on outsourcing, significantly more than the year before.

• In addition, a lack of community and nursing home beds and social care

provision have left many providers finding it difficult to discharge

patients who no longer require an acute hospital bed. The bed days lost

as a result of delayed transfers of care (DToCs) rose by 20.6% this year

compared a year ago. Providers estimated that the direct cost of these

delays cost the sector £173 million this year. However, the full cost

associated with DToCs is likely to be much higher than providers’ direct

cost estimations.

• These operational challenges have left many providers failing to meet a

number of key national standards. In previous years, underperformance

against national standards often resulted in financial sanctions being

levied on providers. However, the introduction of STF has meant that

providers did not face these penalties if they have accepted their control

totals and meet their agreed performance trajectories for access

standards this year. This change has led to a dramatic fall in the

financial sanctions from £308 million in 2015/16 to £99 million this year.

This significant reduction has helped to alleviate some of the financial

pressures on providers.


Year to date - Month 12 2016/17


£m £m £m %

Employee expenses 49,808 50,619 811 1.6%

Drugs 6,724 6,863 139 2.1%

Supplies and services - clinical (excluding drugs) 6,060 6,326 266 4.4%

Supplies and services – general 1,810 1,887 77 4.3%

Purchase of healthcare from non-NHS bodies 1,017 1,076 59 5.8%

Consultancy costs 201 263 62 30.8%

PFI/LIFT operating expenses 917 879 (38) (4.1%)

Clinical negligence 1,565 1,649 84 5.4%

Premises 2,864 3,246 382 13.3%

All other operating non-pay 4,787 4,843 56 1.2%

Non-pay expense included in EBITDA 25,945 27,032 1,087 4.2%

Operating expenditure for EBITDA 75,753 77,651 1,898 2.5%


Month 12

2016/17

Month 12

2015/16

£m £m

Financial Sanctions (Fines) 161 502

Sanctions reinvested (62) (194)

Sub-total: Financial Sanctions 99 308

Marginal Rate Emergency Tariff (MRET) 269 265

MRET reinvested (16) (34)

Sub-total: MRET 253 231

Readmissions 267 249

Readmissions reinvested (51) (59)

Sub-total: Readmissions 216 190

Delayed transfers of care (DToC) - expenditure incurred on

blocked capacity 175 148

DToC - reimbursement from Local Authorities (2) (3)

Sub-total: Delayed Transfers of Care 173 145

Waiting list initiative work 209 143

Outsourcing of work to other providers 381 241

2.5 Cost improvement programmes

17

• Providers achieved £3.1 billion of savings through cost improvement

programmes (CIPs) during this financial year, including £679 million from

income generation schemes. CIPs reduced total year-to-date expenditure

by 3.7%. Compared to last year, providers delivered an extra £208 million

of cost savings in the most difficult operating conditions.

• However, the level of cost savings achieved was still £266 million short of

plan. This was largely due to a £345 million shortfall reported for pay

savings. The pay saving shortfall combined with a £59 million shortfall for

non-pay savings reflected sustained demand pressures and recruitment

difficulties during the year. Providers however outperformed on their

planned income generation schemes by delivering an extra £138 million to

offset the shortfalls.

• In total, 75% (£2.3 billion) of the savings delivered were recurrent but this

was below the planned level of 92% (or £3.1 billion). Providers offset some

of this shortfall by delivering £789 million of additional savings through non-

recurrent measures in year.

• This year, NHS Improvement established an Operational Productivity Team

to support the sector deliver increased levels of efficiency and accelerate

the implementation of recommendations from Lord Carter’s review. The

team developed a programme of work including workforce productivity,

resource optimisation and benchmarking. To support our wider remit to

strengthen financial performance and accountability, NHS Improvement

also undertook reviews in areas such as pay bill growth and agency

staffing.

• Noticeable progress has been made, including, a reduction in clinical

variation by promoting the ‘Getting it Right First Time’ programme which

generated approximately £50 million of efficiency in orthopaedics this year.

This work is currently being replicated across other clinical areas. The

launch of a purchase price index and benchmark tool also highlighted

variation in prices paid by providers for goods and identified potential

saving opportunities across the sector. In total, the national programme has

achieved c. £300 million of efficiency to date. We will continue to work with

the sector to further progress and embed the programme in the coming

year.


Year to date - Month 12 2016/17


£m £m £m

Recurrent 3,093 2,312 (781)

Non-recurrent 274 789 515

Total cost improvement programmes 3,367 3,101 (266)

CIPs as a % of spend 4.0% 3.7%

Note: Cost weighted activity in the acute sector grew by 2.4% in 16/17

with acute sector total expenditure growing by 4.1%. After taking into

account the estimated inflationary pressures in acute trusts in tariff of 3.3%

this equates to real terms expenditure growth of 0.8% delivering 2.4% more

weighted activity. This gives an implied efficiency level of 1.6%.

The cost weighted activity growth takes no account of the change in the

complexity of types of activity from one year to the next which if included

would show a higher level of implied efficiency.

2.6. Capital expenditure

18

• Providers spent £2.902 billion on capital schemes in this

financial year, which was £1.169 billion less than plan and £173

million above the DH target of £2.729 billion.

• Plans submitted by providers included Capital Departmental

Expenditure Limit (CDEL) expenditure of £4.071 billion for

2016/17, which was significantly higher than the £2.729 billion

CDEL budget set by the Department of Health.

• During the year, NHS Improvement focussed on supporting

providers to increase the accuracy of their capital expenditure

forecasts and ensure that sources of funding for providers

capital expenditure were identified and approved.

• Providers with significant levels of capital expenditure remaining

at the end of Q3 were contacted between month 9 and month

12, and asked to review their forecast CDEL position with a view

of stopping or deferring spend where it was appropriate and safe

to do so.

• As a result, a number of providers amended their CDEL forecast

at month 9 from £3.302 billion to £2.981 billion. A similar

exercise was undertaken at Month 11 resulting in a revised

forecast of £2.945 billion, broadly in line with the actual month

12 position reported by providers in their draft accounts.

• Limited availability of capital resource means that managing

capital expenditure within the NHS will remain a challenge in the

coming years.


Outturn - 2016/17


£m £m £m %

Acute 3,102 2,160 (942) (30%)

Ambulance 133 103 (30) (23%)

Community 80 64 (16) (20%)

Mental Health 480 389 (91) (19%)

Specialist 276 186 (90) (33%)

Total capital departmental expenditure

limit 4,071 2,902 (1,169) (29%)

Provider Capital Summary Foundation

Trusts NHS Trusts Total 16/17

Capital Departmental Expenditure Limit £m £m £m

Gross Capex 2,133 1,133 3,266

Disposals (143) (50) (193)

Net 1,990 1,083 3,073

Minus PFI (62) (64) (126)

Minus Donated Assets (145) (37) (182)

Plus PFI Residual Interest 54 73 127

Net Financial Assets 17 11 28

Capital PPAs (18) 0 (18)

CDEL 1,836 1,066 2,902

2.7 Year-end financial position

19

• Against record level of demand for urgent and emergency care, the sector

has ended the year with a reported deficit of £791 million. Although the

reported position was £211 million off plan, it was significantly better than

the sector’s forecast at Q3, of a year-end deficit of £873 million, and

almost £1.7 billion better than 2015/16.

• The reported year-end position is a demonstration of huge efforts made by

providers as well as actions taken to support the sector by NHS

Improvement.

• This year, most providers have increased the level of grip and control on

their finances. This was evident as the number of providers in deficit

reduced from 157 in 2015/16 to 105 this year. Our regional teams have

worked with the sector and actively engaged with providers in their effort to

mitigate downside risks during the year.

• Intensive support has been provided to 11 trusts in financial difficulties

through our programme of financial special measures (FSM), and up to

£100 million of savings have been identified. Since the launch of this

programme in July 2016, two trusts have successfully exited the

programme.

• Support was also provided to many providers through our Financial

Improvement Programme (FIP) introduced in May 2016. Twenty trusts

volunteered to participate in the first wave of the programme and received

targeted support from teams of improvement experts. Over £100 million

savings were delivered in 2016/17, more than double the £50 million of

savings anticipated at the start of this programme and achieved a return in

year of at least four times its costs based on the projects completed so far.

Following the success, we launched FIP wave 2 in February 2017 and

extended the support to the next cohort of providers.

• In the coming year, we will continue to hold providers directly accountable

for their financial performances to further reduce the sector deficit, and

support their effort to increase operational productivity, improve cost

recovery and reduce agency spend. At the same time, NHS Improvement

is fully committed to working collaboratively with our national partners to

explore new models of care to improve access to services, and deliver a

balanced financial position across the NHS.

Sustainability and

Transformation

fund

Providers 2016/17 STF

Total

number of

trusts

Total

number of

trusts

accepted

control

totals

Total

number of

trusts

received

STF

Total

number of

trusts

received

incentive

STF

Total

number of

trusts

received

bonus STF

Acute 137 133 129 94 94

Ambulance 10 8 7 6 6

Community 18 17 16 15 16

Mental Health 56 53 49 46 46

Specialist 17 17 16 15 15

Total 238 228 217 176 177

20

3.0 Financial Performance by Providers

3.1 Financial performance by providers – London

21

YTD Plan YTD Actual Variance

Barking, Havering and Redbridge University Hospitals NHS Trust Yes (11,900) (10,874) 1,026 0 20,997 19,598 268 1,131

Barnet, Enfield and Haringey Mental Health NHS Trust No (12,590) (12,268) 322 0 0 0 0 0

Barts Health NHS Trust Yes (82,700) (69,062) 13,638 419 46,251 37,900 6,713 1,638

Camden And Islington NHS Foundation Trust Yes 1,700 67 (1,633) 0 0 0 0 0

Central And North West London NHS Foundation Trust Yes (1,030) 6,314 7,344 419 10,102 2,770 5,634 1,698

Central London Community Healthcare NHS Trust Yes 4,820 5,380 560 0 2,778 2,220 2 556

Chelsea And Westminster Hospital NHS Foundation Trust Yes 4,417 10,471 6,054 268 18,761 14,801 2,173 1,787

Croydon Health Services NHS Trust Yes (25,482) (23,787) 1,695 0 8,546 7,146 499 901

East London NHS Foundation Trust Yes 11,774 4,781 (6,993) 0 0 0 0 0

Epsom and St Helier University Hospitals NHS Trust Yes (15,053) (12,687) 2,366 0 13,142 11,300 641 1,201

Great Ormond Street Hospital for Children NHS Foundation Trust Yes 2,241 4,619 2,379 0 4,243 2,400 623 1,220

Guy's And St Thomas' NHS Foundation Trust Yes 6,516 43,832 37,316 419 38,210 17,520 18,719 1,971

Homerton University Hospital NHS Foundation Trust Yes 1,402 4,122 2,720 0 7,979 5,808 876 1,295

Hounslow and Richmond Community Healthcare NHS Trust Yes 1,600 2,962 1,362 0 1,599 600 364 635

Imperial College Healthcare NHS Trust Yes (16,862) (15,330) 1,532 0 25,450 24,100 220 1,130

King's College Hospital NHS Foundation Trust Yes (1,600) (59,617) (58,018) 0 0 0 0 0

Kingston Hospital NHS Foundation Trust Yes 4,200 (3,458) (7,658) 0 4,050 4,050 0 0

Lewisham and Greenwich NHS Trust Yes (20,200) (20,054) 146 0 16,746 15,286 315 1,145

London Ambulance Service NHS Trust Yes (6,694) 6,562 13,256 419 10,055 2,050 6,470 1,535

London North West Healthcare NHS Trust Yes (61,500) (60,384) 1,116 0 22,583 21,500 32 1,051

Moorfields Eye Hospital NHS Foundation Trust Yes 2,631 12,861 10,229 419 7,108 1,100 4,513 1,495

North East London NHS Foundation Trust Yes 462 2,588 2,126 0 3,938 2,260 546 1,132

North Middlesex University Hospital NHS Trust Yes 14,100 (10,464) (24,564) 0 2,450 2,450 0 0

Oxleas NHS Foundation Trust Yes 2,580 3,252 672 0 2,238 1,580 10 648

Royal Brompton and Harefield NHS Foundation Trust Yes (7,493) 13,021 20,515 419 15,790 4,799 9,382 1,609

Royal Free London NHS Foundation Trust Yes 15,500 (44,239) (59,740) (15,192) 4,575 4,575 0 0

Royal National Orthopaedic Hospital NHS Trust Yes (7,372) (6,796) 576 0 1,532 925 84 523

South London And Maudsley NHS Foundation Trust Yes (3,981) 5,510 9,491 419 9,666 2,280 5,701 1,685

South West London and St George's Mental Health NHS Trust Yes 2,108 2,710 602 0 1,560 990 50 520

St George's University Hospitals NHS Foundation Trust Yes (16,851) (73,942) (57,091) 0 0 0 0 0

Tavistock And Portman NHS Foundation Trust Yes 800 1,813 1,013 0 1,309 500 204 605

The Hillingdon Hospitals NHS Foundation Trust Yes 5,061 5,993 932 0 7,520 6,700 122 698

The Royal Marsden NHS Foundation Trust Yes (969) 5,983 6,953 417 5,908 1,481 2,544 1,883

The Whittington Hospital NHS Trust Yes (6,400) (3,670) 2,730 0 7,833 6,243 397 1,193

University College London Hospitals NHS Foundation Trust Yes (11,000) 43,553 54,553 419 41,739 14,333 25,435 1,971

West London Mental Health NHS Trust No 2,000 5,038 3,038 0 0 0 0 0

London Total (225,765) (235,200) (9,435) (11,155) 364,658 239,265 92,537 32,856

Provider Name Control

Total (CT)

Accepted?

Distribution

of £1.8bn

of which

Core STF

of which

Incentive

STF

Control Total Basis Surplus Deficit

Including STF

Year to date

Sustainability & Transformation Fund (STF)STF Final

Adjustment

(memo

only)

of which

Bonus STF

3.2 Financial performance by providers – Midlands and East

(1/2)

22


Basildon And Thurrock University Hospitals NHS Foundation Trust Yes (15,443) (13,698) 1,745 0 12,473 10,319 997 1,157

Bedford Hospital NHS Trust Yes (10,200) (8,300) 1,900 0 7,214 5,752 486 976

Birmingham And Solihull Mental Health NHS Foundation Trust Yes 372 2,828 2,456 0 3,085 1,370 843 872

Birmingham Children's Hospital NHS Foundation Trust Yes 8,831 17,010 8,179 3,869 10,220 5,400 3,380 1,440

Birmingham Community Healthcare NHS Foundation Trust Yes 3,910 4,746 836 0 2,410 1,610 56 744

Birmingham Women's NHS Foundation Trust Yes (2,044) (2,172) (128) 0 1,483 1,483 0 0

Black Country Partnership NHS Foundation Trust Yes (1,129) (546) 583 0 1,151 610 37 504

Burton Hospitals NHS Foundation Trust Yes (9,885) (7,815) 2,070 0 7,549 5,735 814 1,000

Cambridge University Hospitals NHS Foundation Trust Yes (56,333) (52,721) 3,613 0 17,534 14,983 1,331 1,220

Cambridgeshire And Peterborough NHS Foundation Trust Yes 1,447 2,265 818 0 1,941 1,170 177 594

Cambridgeshire Community Services NHS Trust Yes 1,580 2,098 518 0 1,586 1,080 12 494

Chesterfield Royal Hospital NHS Foundation Trust Yes 7,066 7,790 724 0 7,550 6,627 229 694

Colchester Hospital University NHS Foundation Trust Yes (31,707) (18,494) 13,213 419 16,957 8,917 6,369 1,671

Coventry and Warwickshire Partnership NHS Trust Yes 2,200 6,130 3,930 58 3,643 1,200 1,644 799

Derby Teaching Hospitals NHS Foundation Trust Yes (11,216) (9,149) 2,067 484 14,824 12,410 1,195 1,219

Derbyshire Community Health Services NHS Foundation Trust Yes 4,570 5,706 1,136 0 2,585 1,640 271 674

Derbyshire Healthcare NHS Foundation Trust Yes 2,530 3,467 937 0 1,736 830 297 609

Dudley and Walsall Mental Health Partnership NHS Trust Yes 1,700 2,199 499 0 995 500 4 491

East and North Hertfordshire NHS Trust Yes (8,650) (29,533) (20,883) 0 5,216 5,216 0 0

East Midlands Ambulance Service NHS Trust Yes (8,142) (4,493) 3,649 0 2,935 759 1,486 690

East of England Ambulance Service NHS Trust Yes 1,500 (9,989) (11,489) 0 0 0 0 0

George Eliot Hospital NHS Trust Yes (14,715) (13,770) 945 0 5,085 4,193 265 627

Heart Of England NHS Foundation Trust Yes (13,476) (11,602) 1,874 0 25,192 23,300 503 1,389

Hertfordshire Community NHS Trust Yes 1,530 2,512 982 0 1,676 880 219 577

Hertfordshire Partnership University NHS Foundation Trust Yes 1,881 12,045 10,164 419 7,111 1,280 4,335 1,496

Hinchingbrooke Health Care NHS Trust Yes (9,800) (21,169) (11,369) 0 1,000 1,000 0 0

Ipswich Hospital NHS Trust Yes (20,108) (17,500) 2,608 0 7,847 6,665 255 927

James Paget University Hospitals NHS Foundation Trust Yes 2,374 4,088 1,714 824 7,356 5,800 636 920

Kettering General Hospital NHS Foundation Trust Yes (5,966) (24,552) (18,586) 0 1,900 1,900 0 0

Leicestershire Partnership NHS Trust Yes 1,642 2,401 759 0 2,389 1,640 7 742

Lincolnshire Community Health Services NHS Trust Yes 3,189 3,940 751 0 2,236 1,550 104 582

Lincolnshire Partnership NHS Foundation Trust Yes 731 2,507 1,776 0 1,971 580 531 860

Luton And Dunstable University Hospital NHS Foundation Trust Yes 11,817 12,885 1,069 0 10,078 9,100 134 844

Mid Essex Hospital Services NHS Trust Yes (26,600) (23,977) 2,623 0 10,858 8,683 965 1,210

Milton Keynes University Hospital NHS Foundation Trust Yes (25,014) (19,977) 5,037 281 10,828 7,300 2,205 1,323

Norfolk And Norwich University Hospitals NHS Foundation Trust No (24,042) (24,319) (277) 0 0 0 0 0


Total (CT)

Accepted?

Distribution

of £1.8bn

of which

Core STF

of which

Incentive

STF


Including STF

Year to date


Adjustment

(memo

only)

of which

Bonus STF

3.2 Financial performance by providers – Midlands and East

(2/2)

23


Norfolk And Suffolk NHS Foundation Trust Yes (4,824) (3,339) 1,485 0 2,630 1,270 593 767

Norfolk Community Health and Care NHS Trust Yes 1,770 2,695 925 0 1,586 770 233 583

North Essex Partnership University NHS Foundation Trust Yes (3,026) (6,875) (3,849) 0 0 0 0 0

North Staffordshire Combined Healthcare NHS Trust Yes 1,400 2,051 651 0 1,104 500 82 522

Northampton General Hospital NHS Trust Yes (15,129) (13,847) 1,282 0 10,739 9,619 258 862

Northamptonshire Healthcare NHS Foundation Trust Yes 1,340 4,074 2,734 376 3,010 1,140 1,159 711

Nottingham University Hospitals NHS Trust Yes (21,987) (20,108) 1,879 0 25,554 23,141 894 1,519

Nottinghamshire Healthcare NHS Foundation Trust Yes 8,130 10,234 2,104 0 4,720 2,730 728 1,262

Papworth Hospital NHS Foundation Trust Yes 2,188 3,093 905 0 2,970 2,200 200 570

Peterborough and Stamford Hospitals NHS Foundation Trust Yes (20,150) (17,672) 2,478 0 12,561 10,710 718 1,133

Queen Elizabeth Hospital Kings Lynn NHS Foundation Trust Yes (5,326) (18,157) (12,831) 0 0 0 0 0

Sandwell and West Birmingham Hospitals NHS Trust Yes 6,600 (11,933) (18,533) 0 5,297 5,297 0 0

Sherwood Forest Hospitals NHS Foundation Trust Yes (57,018) (48,288) 8,730 419 15,423 10,128 3,633 1,662

Shrewsbury and Telford Hospital NHS Trust Yes (5,900) (5,631) 269 0 10,767 9,844 20 903

Shropshire Community Health NHS Trust Yes 800 2,596 1,796 0 1,934 656 562 716

South Essex Partnership University NHS Foundation Trust Yes 257 6,205 5,948 389 5,429 1,430 2,475 1,524

South Staffordshire and Shropshire Healthcare NHS Foundation Trust Yes 3,127 6,155 3,028 0 3,154 1,130 1,019 1,005

South Warwickshire NHS Foundation Trust Yes 7,993 9,656 1,663 0 7,441 5,800 753 888

Southend University Hospital NHS Foundation Trust Yes (16,174) (10,324) 5,850 419 11,423 6,970 2,759 1,694

Staffordshire and Stoke on Trent Partnership NHS Trust No (6,200) (32,934) (26,734) 0 0 0 0 0

The Dudley Group NHS Foundation Trust Yes 9,870 11,609 1,739 0 11,945 10,500 390 1,055

The Princess Alexandra Hospital NHS Trust Yes (29,665) (26,715) 2,950 0 9,299 7,406 863 1,030

The Robert Jones And Agnes Hunt Orthopaedic Hospital NHS Foundation Trust Yes 1,987 2,587 600 0 1,048 484 53 511

The Royal Orthopaedic Hospital NHS Foundation Trust Yes (3,200) (4,341) (1,141) 0 0 0 0 0

The Royal Wolverhampton NHS Trust Yes 7,082 8,542 1,460 0 11,628 10,004 432 1,192

United Lincolnshire Hospitals NHS Trust Yes (47,900) (56,891) (8,991) 0 9,660 9,660 0 0

University Hospitals Birmingham NHS Foundation Trust Yes 4,600 11,178 6,578 419 21,067 16,352 2,777 1,938

University Hospitals Coventry and Warwickshire NHS Trust Yes 1,100 946 (154) 0 16,803 15,444 243 1,116

University Hospitals of Leicester NHS Trust Yes (8,300) (27,152) (18,852) 0 11,408 11,408 0 0

University Hospitals of North Midlands NHS Trust Yes 698 (27,773) (28,471) 0 8,883 8,883 0 0

Walsall Healthcare NHS Trust Yes (6,136) (21,392) (15,256) 0 2,100 2,100 0 0

West Hertfordshire Hospitals NHS Trust Yes (22,553) (29,431) (6,878) 0 8,250 8,250 0 0

West Midlands Ambulance Service NHS Foundation Trust Yes 1,952 2,885 933 0 2,219 1,340 175 704

West Suffolk NHS Foundation Trust Yes (5,000) (3,684) 1,316 96 7,221 5,719 648 854

Worcestershire Acute Hospitals NHS Trust Yes (34,583) (28,329) 6,254 419 16,374 11,134 3,319 1,921

Worcestershire Health and Care NHS Trust Yes 4,200 5,089 889 0 2,054 1,200 260 594

Wye Valley NHS Trust No (28,500) (37,204) (8,704) 0 0 0 0 0

Midlands and East Total (512,075) (581,583) (69,508) 8,891 484,315 374,701 55,033 54,581


Total (CT)

Accepted?

Distribution

of £1.8bn

of which

Core STF

of which

Incentive

STF


Including STF

Year to date


Adjustment

(memo

only)

of which

Bonus STF

3.3 Financial performance by providers – North (1/2)

24


5 Boroughs Partnership NHS Foundation Trust Yes (610) (60) 550 0 1,616 1,090 23 503

Aintree University Hospital NHS Foundation Trust Yes 1,285 2,206 921 0 10,284 9,203 138 943

Airedale NHS Foundation Trust Yes 5,591 6,193 602 0 5,877 5,300 62 515

Alder Hey Childrens NHS Foundation Trust Yes (239) 3,622 3,861 93 6,299 3,700 1,733 866

Barnsley Hospital NHS Foundation Trust Yes (8,024) (6,514) 1,510 0 7,874 6,600 451 823

Blackpool Teaching Hospitals NHS Foundation Trust Yes 62 3,036 2,974 0 12,350 10,000 944 1,406

Bolton NHS Foundation Trust Yes 11,901 15,606 3,705 0 11,732 9,200 1,216 1,316

Bradford District Care NHS Foundation Trust Yes 2,140 2,911 771 0 1,555 790 197 568

Bradford Teaching Hospitals NHS Foundation Trust Yes 9,009 10,606 1,597 0 12,475 10,519 645 1,311

Bridgewater Community Healthcare NHS Foundation Trust Yes (609) 2,090 2,699 0 3,640 1,550 1,100 990

Calderdale And Huddersfield NHS Foundation Trust Yes (16,153) (14,703) 1,450 0 12,654 11,300 261 1,093

Calderstones Partnership NHS Foundation Trust Yes (1,161) (1,232) (71) 0 125 125 0 0

Central Manchester University Hospitals NHS Foundation Trust Yes 5,918 56,843 50,925 419 44,076 19,948 22,157 1,971

Cheshire And Wirral Partnership NHS Foundation Trust Yes (890) (72) 818 0 1,696 970 151 575

City Hospitals Sunderland NHS Foundation Trust Yes (2,167) 5,901 8,068 419 15,504 10,600 3,235 1,669

Countess Of Chester Hospital NHS Foundation Trust Yes (3,949) (3,500) 449 0 7,550 5,716 1,045 789

County Durham And Darlington NHS Foundation Trust Yes 6,659 11,720 5,061 167 19,207 15,600 1,921 1,686

Cumbria Partnership NHS Foundation Trust Yes (4,513) (2,506) 2,007 0 3,571 1,960 921 690

Doncaster And Bassetlaw Hospitals NHS Foundation Trust Yes (26,468) (7,293) 19,176 419 22,576 11,800 8,862 1,914

East Cheshire NHS Trust Yes (19,600) (14,960) 4,640 189 7,610 4,456 1,975 1,179

East Lancashire Hospitals NHS Trust Yes (3,676) 3,487 7,163 419 17,152 12,109 3,105 1,938

Gateshead Health NHS Foundation Trust Yes 296 4,715 4,419 150 9,151 6,300 1,874 977

Greater Manchester West Mental Health NHS Foundation Trust No 2,955 3,186 231 0 0 0 0 0

Harrogate And District NHS Foundation Trust Yes 6,895 3,589 (3,306) 0 3,450 3,450 0 0

Hull and East Yorkshire Hospitals NHS Trust Yes 0 2,616 2,616 0 15,081 14,000 44 1,037

Humber NHS Foundation Trust Yes (330) 852 1,182 0 2,496 1,520 256 720

Lancashire Care NHS Foundation Trust Yes (1,390) 236 1,626 0 3,477 2,010 404 1,063

Lancashire Teaching Hospitals NHS Foundation Trust Yes (10,436) (14,664) (4,228) 0 10,671 9,075 412 1,184

Leeds And York Partnership NHS Foundation Trust Yes 3,053 4,840 1,787 0 2,307 900 513 894

Leeds Community Healthcare NHS Trust Yes 2,860 3,350 490 0 1,350 860 0 490

Leeds Teaching Hospitals NHS Trust Yes 1,200 (1,901) (3,101) 0 24,295 22,800 340 1,155

Liverpool Community Health NHS Trust Yes (1,610) (1,096) 514 0 1,894 1,390 10 494

Liverpool Heart And Chest Hospital NHS Foundation Trust Yes (915) (392) 523 0 2,728 2,200 19 509

Liverpool Womens NHS Foundation Trust Yes (6,992) (4,739) 2,253 0 4,462 2,800 679 983

Manchester Mental Health and Social Care Trust Yes (1,424) (1,312) 112 0 457 457 0 0

Mersey Care NHS Foundation Trust Yes 7,074 8,758 1,684 0 3,268 1,655 532 1,081

Mid Cheshire Hospitals NHS Foundation Trust Yes (691) 1,408 2,099 0 8,622 6,365 1,276 981

Mid Yorkshire Hospitals NHS Trust Yes 4,200 (7,873) (12,073) 0 11,864 11,864 0 0


Total (CT)

Accepted?

Distribution

of £1.8bn

of which

Core STF

of which

Incentive

STF


Including STF

Year to date


Adjustment

(memo

only)

of which

Bonus STF

3.3 Financial performance by providers – North (2/2)

25


North Cumbria University Hospitals NHS Trust Yes (49,500) (47,328) 2,172 0 10,193 8,428 689 1,076

North East Ambulance Service NHS Foundation Trust Yes (2,989) 1,741 4,730 180 3,832 710 1,952 1,170

North Tees And Hartlepool NHS Foundation Trust Yes 2,134 3,197 1,063 0 8,953 7,900 187 866

North West Ambulance Service NHS Trust Yes 1,860 7,384 5,524 419 6,501 1,860 3,118 1,523

Northern Lincolnshire And Goole NHS Foundation Trust Yes (11,986) (30,288) (18,302) 0 5,391 5,391 0 0

Northumberland, Tyne And Wear NHS Foundation Trust Yes 6,576 10,182 3,606 0 4,151 1,830 1,294 1,027

Northumbria Healthcare NHS Foundation Trust Yes 29,306 37,264 7,958 419 15,854 10,764 3,452 1,638

Pennine Acute Hospitals NHS Trust Yes (15,247) (1,993) 13,254 419 28,554 20,500 6,116 1,938

Pennine Care NHS Foundation Trust Yes 2,294 5,180 2,886 0 3,230 1,329 985 916

Rotherham Doncaster And South Humber NHS Foundation Trust Yes 1,651 3,317 1,667 0 2,195 950 555 690

Royal Liverpool and Broadgreen University Hospitals NHS Trust Yes 15,900 1,329 (14,571) (6,085) 4,850 4,850 0 0

Salford Royal NHS Foundation Trust Yes (4,099) 5,004 9,103 419 15,907 11,400 2,569 1,938

Sheffield Children's NHS Foundation Trust Yes 2,352 2,985 633 0 2,727 2,100 98 529

Sheffield Health And Social Care NHS Foundation Trust Yes 1,002 1,839 837 0 1,459 720 178 561

Sheffield Teaching Hospitals NHS Foundation Trust Yes 5,000 12,711 7,711 419 24,277 19,300 3,339 1,638

South Tees Hospitals NHS Foundation Trust Yes 8,536 (10,705) (19,241) 0 3,650 3,650 0 0

South Tyneside NHS Foundation Trust Yes (2,918) 1,318 4,236 118 7,718 4,900 1,794 1,024

South West Yorkshire Partnership NHS Foundation Trust Yes 1,850 3,272 1,422 0 2,523 1,350 408 765

Southport and Ormskirk Hospital NHS Trust Yes (6,600) (20,709) (14,109) 0 0 0 0 0

St Helens and Knowsley Hospital Services NHS Trust Yes 3,328 4,861 1,533 0 11,610 10,100 427 1,083

Stockport NHS Foundation Trust Yes (6,504) (2,197) 4,307 390 11,792 8,400 2,157 1,235

Tameside Hospital NHS Foundation Trust Yes (17,135) (13,321) 3,814 0 9,428 6,900 1,491 1,037

Tees, Esk And Wear Valleys NHS Foundation Trust Yes 10,057 22,840 12,783 419 9,650 1,980 5,860 1,810

The Christie NHS Foundation Trust Yes 9,113 12,472 3,359 0 3,914 1,600 1,116 1,198

The Clatterbridge Cancer Centre NHS Foundation Trust Yes 5,902 8,239 2,337 0 2,317 500 827 990

The Newcastle Upon Tyne Hospitals NHS Foundation Trust Yes 7,501 14,240 6,739 0 6,623 4,850 554 1,219

The Rotherham NHS Foundation Trust Yes 6,653 (6,503) (13,156) 0 3,250 3,250 0 0

The Walton Centre NHS Foundation Trust Yes 1,021 1,611 590 0 1,879 1,300 64 515

University Hospital Of South Manchester NHS Foundation Trust Yes 427 3,121 2,694 0 10,629 8,250 1,141 1,238

University Hospitals Of Morecambe Bay NHS Foundation Trust Yes (17,059) (16,034) 1,025 0 10,921 9,265 576 1,080

Warrington And Halton Hospitals NHS Foundation Trust Yes (7,917) (5,026) 2,891 0 9,891 8,000 1,101 790

Wirral Community NHS Foundation Trust Yes 1,600 2,096 496 0 1,294 800 3 491

Wirral University Teaching Hospital NHS Foundation Trust Yes 328 (10,475) (10,803) 0 6,909 6,909 0 0

Wrightington, Wigan And Leigh NHS Foundation Trust Yes 3,724 14,073 10,349 419 13,912 7,900 4,607 1,405

York Teaching Hospital NHS Foundation Trust Yes 10,072 1,614 (8,457) 0 9,662 9,662 0 0

Yorkshire Ambulance Service NHS Trust Yes 5,120 2,719 (2,401) 0 1,140 1,140 0 0

North Total (39,394) 94,983 134,377 (189) 607,781 438,919 103,159 65,703


Total (CT)

Accepted?

Distribution

of £1.8bn

of which

Core STF

of which

Incentive

STF


Including STF

Year to date


Adjustment

(memo

only)

of which

Bonus STF

3.4 Financial performance by providers – South (1/2)

26


2Gether NHS Foundation Trust Yes 673 1,297 624 0 1,237 650 56 531

Ashford and St Peter's Hospitals NHS Foundation Trust Yes 12,966 7,331 (5,635) 0 6,265 6,265 0 0

Avon and Wiltshire Mental Health Partnership NHS Trust Yes 2,480 (8,918) (11,398) 0 315 315 0 0

Berkshire Healthcare NHS Foundation Trust Yes 537 1,485 947 0 2,752 1,840 136 776

Brighton and Sussex University Hospitals NHS Trust Yes (15,570) (68,501) (52,931) 0 3,600 3,600 0 0

Buckinghamshire Healthcare NHS Trust Yes 5,157 (1,759) (6,916) 0 6,972 6,972 0 0

Cornwall Partnership NHS Foundation Trust Yes (450) 4,892 5,342 355 4,499 1,050 2,389 1,060

Dartford and Gravesham NHS Trust Yes 6,121 (382) (6,503) 0 6,750 6,750 0 0

Devon Partnership NHS Trust Yes 2,460 4,664 2,204 0 2,534 860 684 990

Dorset County Hospital NHS Foundation Trust Yes (1,800) (1,107) 693 0 5,317 4,700 91 526

Dorset Healthcare University NHS Foundation Trust Yes 162 8,052 7,890 419 6,734 1,920 3,221 1,593

East Kent Hospitals University NHS Foundation Trust Yes 612 (24,059) (24,670) 0 4,025 4,025 0 0

East Sussex Healthcare NHS Trust Yes (31,300) (43,792) (12,492) 0 2,600 2,600 0 0

Frimley Health NHS Foundation Trust Yes 23,472 25,554 2,082 0 24,103 21,346 1,238 1,519

Gloucestershire Care Services NHS Trust Yes 1,793 2,309 516 0 1,596 1,080 13 503

Gloucestershire Hospitals NHS Foundation Trust Yes 18,215 (19,151) (37,366) 0 3,225 3,225 0 0

Great Western Hospitals NHS Foundation Trust Yes 764 4,313 3,549 0 11,379 8,900 1,311 1,168

Hampshire Hospitals NHS Foundation Trust Yes 6,776 9,046 2,270 0 12,445 10,300 739 1,406

Isle of Wight NHS Trust Yes (4,630) (10,960) (6,330) 0 1,750 1,750 0 0

Kent and Medway NHS and Social Care Partnership Trust Yes (4,090) (3,311) 779 0 1,870 1,110 193 567

Kent Community Health NHS Foundation Trust Yes 2,710 4,630 1,920 0 3,212 1,810 518 884

Maidstone and Tunbridge Wells NHS Trust Yes 4,675 (10,918) (15,593) 0 5,677 5,677 0 0

Medway NHS Foundation Trust Yes (43,686) (43,216) 470 0 10,826 8,295 1,311 1,220

North Bristol NHS Trust No (48,033) (42,922) 5,111 0 0 0 0 0

Northern Devon Healthcare NHS Trust Yes 1,400 2,232 832 0 4,415 3,669 117 629

Oxford Health NHS Foundation Trust Yes (502) 5,973 6,475 419 6,716 2,030 2,966 1,720

Oxford University Hospitals NHS Foundation Trust Yes 36,673 3,615 (33,058) 0 9,945 9,945 0 0

Plymouth Hospitals NHS Trust No (35,600) (39,900) (4,300) 0 0 0 0 0

Poole Hospital NHS Foundation Trust Yes (800) 945 1,745 0 9,318 7,900 483 935

Portsmouth Hospitals NHS Trust Yes 1,200 (17,645) (18,845) 0 6,996 6,996 0 0

Queen Victoria Hospital NHS Foundation Trust Yes 2,215 3,211 996 0 1,673 893 198 582

Royal Berkshire NHS Foundation Trust Yes 4,806 6,038 1,232 0 10,784 9,281 346 1,157

Royal Cornwall Hospitals NHS Trust Yes (3,677) (929) 2,748 0 11,352 9,100 913 1,339

Royal Devon And Exeter NHS Foundation Trust Yes (6,390) (2,334) 4,056 59 12,663 9,438 1,647 1,578

Royal Surrey County Hospital NHS Foundation Trust Yes (8,379) 21,280 29,659 419 22,904 6,786 14,296 1,822

Royal United Hospitals Bath NHS Foundation Trust Yes 10,136 11,787 1,651 0 10,153 8,433 699 1,021


Total (CT)

Accepted?

Distribution

of £1.8bn

of which

Core STF

of which

Incentive

STF


Including STF

Year to date


Adjustment

(memo

only)

of which

Bonus STF

3.4 Financial performance by providers – South (2/2)

27


Salisbury NHS Foundation Trust Yes 1,772 3,818 2,046 0 7,826 6,300 759 767

Solent NHS Trust Yes (3,413) (2,084) 1,329 0 2,208 1,140 308 760

Somerset Partnership NHS Foundation Trust Yes 2,892 3,432 539 0 2,616 2,090 26 500

South Central Ambulance Service NHS Foundation Trust Yes (830) 550 1,380 0 2,413 1,070 643 700

South East Coast Ambulance Service NHS Foundation Trust No 859 (7,881) (8,740) 0 0 0 0 0

South Western Ambulance Service NHS Foundation Trust No 336 336 (0) 0 0 0 0 0

Southern Health NHS Foundation Trust Yes (380) 1,368 1,748 0 4,252 2,700 515 1,037

Surrey And Borders Partnership NHS Foundation Trust Yes 1,060 6,100 5,040 697 5,914 960 3,785 1,169

Surrey and Sussex Healthcare NHS Trust Yes 15,200 3,672 (11,528) 0 4,850 4,850 0 0

Sussex Community NHS Foundation Trust Yes 4,370 103 (4,267) 0 0 0 0 0

Sussex Partnership NHS Foundation Trust Yes 2,228 (1,887) (4,115) 0 0 0 0 0

Taunton And Somerset NHS Foundation Trust Yes (1,059) 687 1,746 0 8,838 7,406 485 947

The Royal Bournemouth And Christchurch Hospitals NHS Foundation Trust Yes (1,223) 1,924 3,148 0 10,010 7,600 1,167 1,243

Torbay and South Devon NHS Foundation Trust Yes 2,276 (10,991) (13,267) 0 3,210 3,210 0 0

University Hospital Southampton NHS Foundation Trust Yes 16,280 20,520 4,240 82 20,319 17,183 1,705 1,431

University Hospitals Bristol NHS Foundation Trust Yes 15,901 16,606 705 0 13,180 12,106 39 1,035

Western Sussex Hospitals NHS Foundation Trust Yes 16,434 8,049 (8,385) 0 9,901 9,901 0 0

Weston Area Health NHS Trust Yes (3,200) (7,185) (3,985) 0 1,755 1,755 0 0

Yeovil District Hospital NHS Foundation Trust Yes (15,308) (14,395) 913 0 5,252 4,369 281 602

South Total (4,706) (188,407) (183,702) 2,450 339,146 262,151 43,278 33,717


Total (CT)

Accepted?

Distribution

of £1.8bn

of which

Core STF

of which

Incentive

STF


Including STF

Year to date


Adjustment

(memo

only)

of which

Bonus STF

28

4.0 Operational Performance by Providers

4.1 Best and worst operational performance (1/3)

29

A&E 4-hour standard – ten best and worst performing trusts during Q4 2016/17 - acute trusts only

Best performing trusts Total

attendances

4-hour

breaches

Q4 2016/17

performance

Luton and Dunstable University

Hospital NHS Foundation Trust 35,780 554 98.45%

Dorset County Hospital NHS

Foundation Trust 20,978 460 97.81%

Sheffield Children's NHS


Yeovil District Hospital NHS


Alder Hey Children's NHS


Birmingham Children's Hospital

NHS Foundation Trust 15,448 604 96.09%

Epsom And St Helier University

Hospitals NHS Trust 36,461 1,666 95.43%

Harrogate and District NHS


South Warwickshire NHS


Gateshead Health NHS Foundation

Trust 28,371 1,406 95.04%

Worst performing trusts Total

attendances

4-hour

breaches

Q4 2016/17

performance

The Princess Alexandra Hospital

NHS Trust 24,272 7,349 69.72%

Weston Area Health NHS Trust 12,106 3,568 70.53%

Medway NHS Foundation Trust 28,000 6,915 75.30%

Stockport NHS Foundation Trust 22,262 5,487 75.35%

East Kent Hospitals University NHS

Foundation Trust 50,249 12,225 75.67%

Portsmouth Hospitals NHS Trust 33,774 8,184 75.77%

Kettering General Hospital NHS


Gloucestershire Hospitals NHS


United Lincolnshire Hospitals NHS

Trust 36,545 8,473 76.81%

East Sussex Healthcare NHS Trust 26,164 6,060 76.84%

30 30


Worst performing trusts Waiting list 0-18 week

waiters

Q4 2016/17

performance

Wye Valley NHS Trust 13,545 9,766 72.10%

Kettering General Hospital NHS


King's College Hospital NHS


Medway NHS Foundation Trust 23,509 17,924 76.24%

Northern Lincolnshire and Goole NHS


Mid Yorkshire Hospitals NHS Trust 36,137 29,337 81.18%

Imperial College Healthcare NHS Trust 63,407 52,780 83.24%

Worcestershire Acute Hospitals NHS

Trust 37,655 31,451 83.52%

Basildon and Thurrock University

Hospitals NHS Foundation Trust 23,901 20,003 83.69%

Lancashire Teaching Hospitals NHS


RTT 18-week – ten best and worst performing trusts at end of Q4 2016/17 - acute and specialist trusts only

Best performing trusts Waiting list 0-18 week

waiters

Q4 2016/17

performance

Lancashire Care NHS Foundation Trust 123 122 99.19%

The Christie NHS Foundation Trust 1,272 1,259 98.98%

Moorfields Eye Hospital NHS Foundation

Trust 26,259 25,658 97.71%

Homerton University Hospital NHS


Mid Cheshire Hospitals NHS Foundation

Trust 11,009 10,678 96.99%

The Clatterbridge Cancer Centre NHS

Foundation Trust 571 553 96.85%

North Middlesex University Hospital NHS

Trust 7,319 7,086 96.82%

The Royal Marsden NHS Foundation

Trust 1,636 1,580 96.58%

The Walton Centre NHS Foundation

Trust 6,829 6,592 96.53%

Nottingham University Hospitals NHS

Trust 29,932 28,714 95.93%

31 31

* Trusts with l0 or fewer patients treated have not been included in this analysis

Worst performing trusts Number

treated

Within 62

days

Q4 2016/17

Performance

Royal Brompton and Harefield NHS


The Clatterbridge Cancer Centre NHS


University College London Hospitals NHS


Basildon and Thurrock University

Hospitals NHS Foundation Trust 242 160 66.05%

Guy's and St Thomas' NHS Foundation

Trust 326 219 67.02%

East And North Hertfordshire NHS Trust 367 251 68.35%

Gloucestershire Hospitals NHS


Colchester Hospital University NHS


University Hospitals of North Midlands

NHS Trust 542 379 69.90%

Maidstone And Tunbridge Wells NHS

Trust 310 218 70.16%

Cancer 62-day standard – ten best and worst performing trusts in Q4 2016/17* - acute and specialist trusts only

Best performing trusts Number

treated

Within 62

days

Q4 2016/17

Performance

Bridgewater Community Healthcare NHS


Bolton NHS Foundation Trust 153 147 96.39%

South Tyneside NHS Foundation Trust 43 41 95.35%

Wrightington, Wigan and Leigh NHS


Kingston Hospital NHS Foundation Trust 158 148 93.97%

Mid Cheshire Hospitals NHS Foundation Trust 153 143 93.14%

The Princess Alexandra Hospital NHS Trust 162 150 92.57%

Yeovil District Hospital NHS Foundation Trust 163 150 91.72%

Tameside Hospital NHS Foundation Trust 129 118 91.09%

Stockport NHS Foundation Trust 162 148 91.05%


4.2 Operational performance by providers - London

32

ORGANISATION A&E (95%)RTT Incomplete

(92%)

RTT 52

weeks

Diagnostics

(<1.00%)

Cancer 62

days - GP

referral (85%)

Cancer 2

weeks - GP

referral (93%)

Cancer 2

weeks -

breast

symptoms

Cancer 31

days - GP

referral (96%)

C.Diff cases

Barking, Havering And Redbridge University Hospitals NHS Trust 84.53% 88.20% 3 0.12% 76.49% 96.19% 94.08% 99.23% 3

Barts Health NHS Trust 83.24% 0.41% 85.69% 97.93% 99.19% 97.13% 24

Central and North West London NHS Foundation Trust 100.00% 0 1.67% 0

Central London Community Healthcare NHS Trust 98.89% 99.70% 0 0

Chelsea and Westminster Hospital NHS Foundation Trust 89.58% 90.62% 0 3.03% 87.31% 91.44% 95.28% 98.10% 2

Croydon Health Services NHS Trust 85.23% 92.14% 0 3.99% 90.40% 96.78% 99.02% 95.52% 4

Epsom And St Helier University Hospitals NHS Trust 95.43% 92.01% 1 0.13% 87.35% 96.61% 98.81% 8

Great Ormond Street Hospital for Children NHS Foundation Trust 91.85% 2 3.98% 100.00% 0

Guy's and St Thomas' NHS Foundation Trust 88.08% 89.20% 14 1.02% 67.02% 94.69% 89.75% 93.52% 7

Homerton University Hospital NHS Foundation Trust 93.64% 97.25% 0 0.08% 87.69% 98.38% 97.42% 100.00% 1

Hounslow and Richmond Community Healthcare NHS Trust 99.96% 100.00% 0 0.00% 0

Imperial College Healthcare NHS Trust 87.60% 83.24% 287 0.40% 78.07% 91.19% 93.49% 96.63% 13

King's College Hospital NHS Foundation Trust 80.76% 76.13% 199 2.14% 82.67% 92.83% 92.18% 96.95% 10

Kingston Hospital NHS Foundation Trust 86.86% 95.11% 1 0.21% 93.97% 98.67% 98.21% 99.59% 7

Lewisham and Greenwich NHS Trust 84.37% 90.66% 0 0.63% 78.49% 96.27% 98.39% 98.41% 5

London North West Healthcare NHS Trust 80.93% 92.03% 2 0.82% 76.07% 93.71% 96.41% 98.17% 19

Moorfields Eye Hospital NHS Foundation Trust 98.02% 97.71% 1 0.00% 100.00% 100.00% 93.22% 0

North East London NHS Foundation Trust 98.55% 100.00% 0 0.00% 0

North Middlesex University Hospital NHS Trust 81.30% 96.82% 0 0.68% 86.39% 94.69% 93.10% 99.63% 9

Royal Brompton and Harefield NHS Foundation Trust N/A 92.67% 0 0.00% 45.16% 100.00% 86.36% 3

Royal Free London NHS Foundation Trust 85.08% 92.43% 2 0.39% 82.81% 93.76% 95.98% 98.73% 17

Royal National Orthopaedic Hospital NHS Trust N/A 91.86% 1 0.80% 82.76% 97.57% 100.00% 0

South West London and ST George's Mental Health NHS Trust 98.15% 0 0

St George's University Hospitals NHS Foundation Trust 88.52% 2.90% 85.50% 87.03% 89.25% 96.73% 10

The Hillingdon Hospitals NHS Foundation Trust 82.70% 92.21% 0 0.00% 90.67% 95.50% 96.70% 98.54% 4

The Royal Marsden NHS Foundation Trust 96.58% 2 77.97% 97.74% 95.91% 97.27% 12

The Whittington Hospital NHS Trust 85.96% 92.02% 0 0.84% 90.79% 95.40% 94.86% 100.00% 2

University College London Hospitals NHS Foundation Trust 88.41% 93.48% 4 0.63% 65.07% 94.80% 95.09% 96.60% 22

London 86.81% 89.04% 519 0.95% 80.72% 94.65% 95.02% 97.19% 182

4.2 Operational performance by providers – Midlands and

East (1/2)

33


(92%)

RTT 52

weeks

Diagnostics

(<1.00%)

Cancer 62

days - GP

referral (85%)

Cancer 2

weeks - GP

referral (93%)

Cancer 2

weeks -

breast

symptoms

Cancer 31

days - GP

referral (96%)

C.Diff cases

Basildon and Thurrock University Hospitals NHS Foundation Trust 90.07% 83.69% 1 0.55% 66.05% 90.13% 91.26% 95.41% 5

Bedford Hospital NHS Trust 92.73% 92.48% 0 0.32% 83.06% 96.19% 95.92% 98.02% 0

Birmingham Children's Hospital NHS Foundation Trust 96.09% 92.67% 0 4.40% 100.00% 94.44% 100.00% 0

Birmingham Community Healthcare NHS Foundation Trust 94.99% 0 87.50% 0

Birmingham Women's NHS Foundation Trust N/A 84.62% 98.87% 85.71% 0

Black Country Partnership NHS Foundation Trust 94.87% 0 0

Burton Hospitals NHS Foundation Trust 92.92% 94.27% 0 0.25% 77.50% 94.38% 82.64% 99.57% 3

Cambridge University Hospitals NHS Foundation Trust 85.44% 91.07% 1 0.48% 81.60% 90.67% 95.07% 97.35% 10

Cambridgeshire and Peterborough NHS Foundation Trust 97.56% 0 0

Cambridgshire Community Services NHS Trust 97.52% 0 0.00% 0

Chesterfield Royal Hospital NHS Foundation Trust 85.92% 92.43% 1 0.26% 76.89% 90.92% 79.05% 95.91% 3

Colchester Hospital University NHS Foundation Trust 91.16% 86.93% 4 0.87% 69.52% 95.49% 93.22% 93.70% 6

Coventry and Warwickshire Partnership NHS Trust N/A 99.53% 0 0.00% 0

Derby Teaching Hospitals NHS Foundation Trust 87.66% 92.03% 3 0.19% 74.77% 96.68% 97.01% 95.18% 11

Derbyshire Community Health Services NHS Foundation Trust 99.99% 97.60% 0 0.00% 0

Derbyshire Healthcare NHS Foundation Trust 95.21% 0 0

Dudley and Walsall Mental Health Partnership NHS Trust 100.00% 0 0

East And North Hertfordshire NHS Trust 83.72% 91.96% 5 0.21% 68.35% 98.33% 95.22% 88.90% 7

George Eliot Hospital NHS Trust 82.87% 89.17% 27 0.00% 79.43% 97.00% 95.80% 100.00% 1

Heart of England NHS Foundation Trust 80.48% 92.38% 0 0.16% 87.51% 96.37% 94.85% 98.97% 20

Hertfordshire Community NHS Trust 99.33% 97.40% 0 0

Hinchingbrooke Health Care NHS Trust 80.79% 93.33% 0 0.65% 85.32% 92.07% 92.41% 97.92% 2

Ipswich Hospital NHS Trust 89.23% 93.15% 0 0.40% 83.56% 96.31% 87.84% 96.61% 6

James Paget University Hospitals NHS Foundation Trust 90.16% 87.70% 0 0.14% 86.01% 97.34% 90.96% 100.00% 2

Kettering General Hospital NHS Foundation Trust 75.89% 73.63% 320 0.80% 82.69% 96.81% 95.30% 97.89% 9

Leicestershire Partnership NHS Trust 100.00% 0 0.00% 0

Lincolnshire Community Health Services NHS Trust 99.11% 0

Lincolnshire Partnership NHS Foundation Trust 95.14% 0 0

Luton and Dunstable University Hospital NHS Foundation Trust 98.45% 92.88% 0 0.44% 89.78% 96.76% 96.65% 100.00% 0

Mid Essex Hospital Services NHS Trust 83.04% 92.04% 3 0.31% 75.26% 96.37% 96.63% 92.66% 12

Milton Keynes Hospital NHS Foundation Trust 89.27% 92.55% 5 0.36% 90.80% 97.24% 97.82% 99.32% 1

Norfolk and Norwich University Hospitals NHS Foundation Trust 80.86% 84.61% 12 0.43% 72.07% 93.55% 97.90% 96.95% 11

4.2 Operational performance by providers – Midlands and

East (2/2)

34


(92%)

RTT 52

weeks

Diagnostics

(<1.00%)

Cancer 62

days - GP

referral (85%)

Cancer 2

weeks - GP

referral (93%)

Cancer 2

weeks -

breast

symptoms

Cancer 31

days - GP

referral (96%)

C.Diff cases

Norfolk Community Health and Care NHS Trust 91.62% 0 0

Northampton General Hospital NHS Trust 82.32% 92.36% 0 0.37% 78.95% 96.91% 95.87% 98.14% 6

Northamptonshire Healthcare NHS Foundation Trust 100.00% 0 0

Nottingham University Hospitals NHS Trust 79.54% 95.93% 3 0.20% 74.92% 94.97% 93.73% 96.50% 15

Papworth Hospital NHS Foundation Trust 92.54% 0 0.70% 85.00% 100.00% 0

Peterborough and Stamford Hospitals NHS Foundation Trust 82.05% 94.18% 0 0.83% 86.31% 97.77% 95.73% 100.00% 6

Sandwell And West Birmingham Hospitals NHS Trust 84.00% 93.09% 2 1.29% 86.20% 94.51% 95.28% 97.60% 4

Sherwood Forest Hospitals NHS Foundation Trust 94.00% 92.84% 6 0.57% 86.35% 96.60% 94.20% 97.33% 8

Shrewsbury And Telford Hospital NHS Trust 77.23% 85.82% 5 0.07% 83.44% 94.24% 95.71% 99.60% 4

Shropshire Community Health NHS Trust 100.00% 93.90% 4 0.00% 0

South Essex Partnership University NHS Foundation Trust 98.93% 0 0

South Warwickshire NHS Foundation Trust 95.27% 92.52% 0 0.71% 82.57% 94.31% 92.76% 98.39% 5

Southend University Hospital NHS Foundation Trust 86.44% 86.44% 0 7.01% 71.90% 95.83% 93.52% 94.05% 7

Staffordshire and Stoke on Trent Partnership NHS Trust 97.02% 0 0.00% 0

The Dudley Group NHS Foundation Trust 91.85% 92.81% 0 0.71% 82.19% 96.65% 97.25% 99.10% 5

The Princess Alexandra Hospital NHS Trust 69.72% 94.05% 0 0.63% 92.57% 98.58% 95.00% 99.04% 5

The Queen Elizabeth Hospital, King's Lynn, NHS Foundation Trust 89.15% 92.38% 0 0.25% 81.25% 96.21% 97.32% 98.95% 7

The Robert Jones and Agnes Hunt Orthopaedic Hospital NHS Foundation Trust N/A 91.37% 0 0.06% 100.00% 98.59% 100.00% 0

The Royal Orthopaedic Hospital NHS Foundation Trust 84.79% 41 0.00% 84.21% 98.41% 100.00% 0

The Royal Wolverhampton NHS Trust 89.22% 91.00% 10 1.33% 79.66% 93.86% 95.13% 97.00% 5

United Lincolnshire Hospitals NHS Trust 76.81% 88.68% 3 0.26% 71.74% 87.02% 49.91% 95.12% 19

University Hospitals Birmingham NHS Foundation Trust 79.66% 92.64% 0 0.42% 71.96% 95.64% 98.40% 97.45% 21

University Hospitals Coventry And Warwickshire NHS Trust 79.00% 86.51% 14 0.60% 82.17% 96.31% 94.62% 99.54% 2

University Hospitals Of Leicester NHS Trust 81.90% 91.81% 24 0.89% 79.53% 93.86% 93.33% 94.44% 17

University Hospitals of North Midlands NHS Trust 77.74% 85.58% 15 0.78% 69.90% 93.34% 87.76% 96.19% 15

Walsall Healthcare NHS Trust 79.02% 85.22% 0 0.99% 87.26% 94.36% 95.17% 100.00% 7

West Hertfordshire Hospitals NHS Trust 77.04% 90.85% 0 0.20% 84.45% 95.50% 87.95% 97.91% 5

West Suffolk NHS Foundation Trust 88.26% 89.88% 8 0.09% 84.89% 95.22% 92.98% 99.74% 1

Worcestershire Acute Hospitals NHS Trust 79.38% 83.52% 21 3.73% 70.41% 85.44% 72.94% 96.74% 9

Worcestershire Health And Care NHS Trust 100.00% 95.85% 0 0

Wye Valley NHS Trust 86.35% 72.10% 38 0.15% 80.41% 94.28% 80.19% 99.57% 3

Midlands and East 85.09% 89.81% 576 0.79% 78.50% 94.53% 91.68% 96.89% 285

4.2 Operational performance by providers – North (1/2)

35


(92%)

RTT 52

weeks

Diagnostics

(<1.00%)

Cancer 62

days - GP

referral (85%)

Cancer 2

weeks - GP

referral (93%)

Cancer 2

weeks -

breast

symptoms

Cancer 31

days - GP

referral (96%)

C.Diff cases

5 Boroughs Partnership NHS Foundation Trust 100.00% 0

Aintree University Hospital NHS Foundation Trust 85.21% 92.52% 0 1.20% 79.63% 95.37% 94.74% 97.51% 10

Airedale NHS Foundation Trust 91.94% 92.87% 0 0.00% 90.32% 97.84% 97.97% 100.00% 2

Alder Hey Children's NHS Foundation Trust 96.71% 92.06% 0 0.45% 100.00% 0

Barnsley Hospital NHS Foundation Trust 88.35% 92.76% 0 0.25% 89.21% 95.24% 95.79% 97.50% 3

Blackpool Teaching Hospitals NHS Foundation Trust 85.05% 92.40% 0 0.40% 83.73% 96.80% 98.92% 99.80% 11

Bolton NHS Foundation Trust 82.87% 92.56% 1 0.44% 96.39% 98.64% 92.41% 99.65% 8

Bradford District Care NHS Foundation Trust 100.00% 0 0

Bradford Teaching Hospitals NHS Foundation Trust 89.76% 89.25% 0 3.06% 80.97% 96.65% 100.00% 97.62% 2

Bridgewater Community Healthcare NHS Foundation Trust 98.38% 99.81% 0 0.44% 100.00% 96.61% 97.56% 0

Calderdale and Huddersfield NHS Foundation Trust 94.42% 95.14% 0 5.27% 88.96% 97.48% 96.03% 100.00% 10

Central Manchester University Hospitals NHS Foundation Trust 90.25% 92.68% 0 2.11% 78.01% 93.85% 95.41% 18

City Hospitals Sunderland NHS Foundation Trust 89.93% 94.37% 0 3.99% 83.41% 96.97% 98.23% 4

Countess of Chester Hospital NHS Foundation Trust 85.42% 92.76% 0 3.02% 87.89% 97.88% 96.39% 97.88% 9

County Durham and Darlington NHS Foundation Trust 91.78% 93.10% 0 0.07% 86.33% 94.56% 94.55% 98.98% 2

Cumbria Partnership NHS Foundation Trust 97.70% 96.99% 0 0.00% 0

Doncaster and Bassetlaw Hospitals NHS Foundation Trust 88.87% 90.45% 1 2.57% 86.84% 88.96% 93.31% 99.30% 2

East Cheshire NHS Trust 77.87% 93.23% 1 0.72% 86.36% 98.94% 96.21% 100.00% 0

East Lancashire Hospitals NHS Trust 79.29% 92.33% 1 0.37% 87.11% 95.79% 97.88% 98.93% 5

Gateshead Health NHS Foundation Trust 95.04% 95.42% 0 0.37% 84.50% 95.40% 95.00% 100.00% 2

Harrogate and District NHS Foundation Trust 95.42% 94.03% 0 0.17% 89.87% 97.93% 96.60% 100.00% 3

Hull And East Yorkshire Hospitals NHS Trust 86.79% 84.62% 5 3.59% 75.30% 96.41% 93.44% 98.23% 12

Humber NHS Foundation Trust 99.93% 98.77% 0 0

Lancashire Care NHS Foundation Trust 99.19% 0 0

Lancashire Teaching Hospitals NHS Foundation Trust 83.32% 83.76% 2 0.49% 78.40% 97.61% 97.01% 96.50% 15

Leeds Community Healthcare NHS Trust 99.93% 0 0.00% 0

Leeds Teaching Hospitals NHS Trust 85.70% 88.52% 0 0.46% 75.16% 94.54% 95.92% 95.95% 34

Liverpool Community Health NHS Trust 100.00% 0.00% 0

Liverpool Heart and Chest Hospital NHS Foundation Trust N/A 92.40% 0 0.09% 85.54% 100.00% 100.00% 0

Liverpool Women's NHS Foundation Trust 98.02% 94.36% 0 1.10% 81.54% 98.77% 97.73% 0

Mid Cheshire Hospitals NHS Foundation Trust 91.72% 96.99% 0 0.09% 93.14% 98.31% 96.71% 99.19% 3

Mid Yorkshire Hospitals NHS Trust 84.19% 81.18% 0 6.43% 83.90% 97.11% 97.55% 98.69% 13

4.2 Operational performance by providers – North (2/2)

36


(92%)

RTT 52

weeks

Diagnostics

(<1.00%)

Cancer 62

days - GP

referral (85%)

Cancer 2

weeks - GP

referral (93%)

Cancer 2

weeks -

breast

symptoms

Cancer 31

days - GP

referral (96%)

C.Diff cases

North Cumbria University Hospitals NHS Trust 83.34% 92.14% 1 0.51% 82.04% 96.42% 76.02% 97.67% 5

North Tees and Hartlepool NHS Foundation Trust 93.68% 93.52% 0 0.02% 87.93% 94.89% 96.63% 99.49% 10

Northern Lincolnshire and Goole NHS Foundation Trust 80.45% 79.47% 36 0.68% 77.27% 96.56% 95.68% 99.55% 7

Northumberland, Tyne and Wear NHS Foundation Trust 98.66% 0 0

Northumbria Healthcare NHS Foundation Trust 92.30% 93.65% 0 0.10% 85.15% 95.57% 95.47% 99.11% 6

Pennine Acute Hospitals NHS Trust 78.77% 92.20% 0 0.63% 81.44% 92.63% 95.09% 99.11% 13

Pennine Care NHS Foundation Trust 100.00% 0.66% 0

Royal Liverpool And Broadgreen University Hospitals NHS Trust 87.67% 88.45% 0 6.10% 86.43% 96.19% 95.16% 96.96% 14

Salford Royal NHS Foundation Trust 79.78% 92.72% 1 0.98% 89.90% 94.19% 99.24% 6

Sheffield Children's NHS Foundation Trust 97.10% 94.58% 0 0.60% 100.00% 100.00% 2

Sheffield Teaching Hospitals NHS Foundation Trust 84.47% 95.41% 0 0.06% 79.06% 96.33% 93.37% 96.65% 30

South Tees Hospitals NHS Foundation Trust 94.06% 93.17% 0 0.51% 82.71% 94.38% 90.28% 96.32% 11

South Tyneside NHS Foundation Trust 93.16% 95.46% 0 0.00% 95.35% 98.30% 100.00% 2

South West Yorkshire Partnership NHS Foundation Trust N/A 98.39% 0 0.57% 0

Southport And Ormskirk Hospital NHS Trust 88.23% 94.09% 0 1.26% 81.31% 94.16% 98.82% 6

St Helens And Knowsley Hospitals NHS Trust 84.23% 93.51% 0 0.00% 88.91% 96.09% 96.08% 98.24% 6

Stockport NHS Foundation Trust 75.35% 92.58% 0 0.16% 91.05% 97.28% 96.41% 97.41% 11

Tameside Hospital NHS Foundation Trust 83.92% 92.46% 0 0.36% 91.09% 95.36% 96.88% 98.00% 7

The Christie NHS Foundation Trust N/A 98.98% 0 0.00% 70.51% 97.68% 6

The Clatterbridge Cancer Centre NHS Foundation Trust 96.85% 0 0.00% 64.63% 98.08% 0

The Newcastle Upon Tyne Hospitals NHS Foundation Trust 92.58% 93.72% 0 0.99% 85.96% 94.91% 95.51% 98.04% 10

The Rotherham NHS Foundation Trust 85.83% 94.79% 0 0.15% 84.88% 97.01% 95.04% 99.20% 6

The Walton Centre NHS Foundation Trust N/A 96.53% 0 0.12% 100.00% 100.00% 100.00% 2

University Hospital of South Manchester NHS Foundation Trust 87.74% 87.41% 3 0.91% 86.59% 96.24% 94.60% 99.08% 8

University Hospitals of Morecambe Bay NHS Foundation Trust 81.40% 89.78% 0 0.62% 84.60% 95.79% 97.57% 98.95% 8

Warrington and Halton Hospitals NHS Foundation Trust 87.16% 93.03% 0 0.00% 76.69% 92.52% 84.55% 96.24% 11

Wirral Community NHS Trust 98.83% 100.00% 0 0.29% 0

Wirral University Teaching Hospital NHS Foundation Trust 79.80% 84.00% 2 0.19% 85.92% 96.25% 95.19% 97.65% 10

Wrightington, Wigan and Leigh NHS Foundation Trust 83.00% 94.78% 0 0.61% 94.74% 97.83% 95.53% 99.70% 2

York Teaching Hospital NHS Foundation Trust 83.17% 89.51% 1 0.95% 81.58% 91.13% 94.62% 96.86% 20

North 87.29% 90.87% 55 1.25% 83.35% 95.57% 94.93% 98.03% 387

4.2 Operational performance by providers – South (1/2)

37


(92%)

RTT 52

weeks

Diagnostics

(<1.00%)

Cancer 62

days - GP

referral (85%)

Cancer 2

weeks - GP

referral (93%)

Cancer 2

weeks -

breast

symptoms

Cancer 31

days - GP

referral (96%)

C.Diff cases

Ashford and St Peter's Hospitals NHS Foundation Trust 83.99% 92.13% 0 0.43% 83.21% 93.28% 98.45% 98.24% 7

Berkshire Healthcare NHS Foundation Trust 100.00% 100.00% 0 0.00% 0

Brighton And Sussex University Hospitals NHS Trust 80.74% 84.15% 96 0.35% 74.97% 92.57% 95.35% 97.84% 11

Buckinghamshire Healthcare NHS Trust 89.52% 90.12% 0 0.45% 86.84% 93.90% 95.83% 97.71% 16

Cornwall Partnership NHS Foundation Trust 99.74% 100.00% 0 2.78% 0

Dartford And Gravesham NHS Trust 85.01% 93.44% 0 0.61% 85.46% 94.25% 97.49% 100.00% 5

Dorset County Hospital NHS Foundation Trust 97.81% 89.18% 0 0.56% 86.47% 97.34% 95.24% 99.27% 0

Dorset Healthcare University NHS Foundation Trust N/A 98.46% 0 0.22% 0

East Kent Hospitals University NHS Foundation Trust 75.67% 85.40% 28 0.23% 70.27% 96.49% 95.18% 96.00% 19

East Sussex Healthcare NHS Trust 76.84% 90.77% 0 1.40% 75.10% 97.90% 97.76% 98.51% 11

Frimley Health NHS Foundation Trust 89.07% 92.48% 0 0.43% 89.28% 96.76% 97.10% 99.46% 8

Gloucestershire Care Services NHS Trust 99.54% 0.00% 0

Gloucestershire Hospitals NHS Foundation Trust 76.48% 3.55% 69.08% 91.91% 94.00% 93.78% 15

Great Western Hospitals NHS Foundation Trust 82.28% 91.36% 1 0.57% 86.24% 82.57% 54.71% 96.94% 5

Hampshire Hospitals NHS Foundation Trust 88.30% 93.82% 0 0.70% 86.80% 96.15% 95.45% 99.47% 2

Isle Of Wight NHS Trust 83.65% 88.35% 1 0.00% 85.40% 97.53% 93.94% 100.00% 3

Kent Community Health NHS Trust 99.88% 99.36% 0 0.00% 0

Maidstone And Tunbridge Wells NHS Trust 83.81% 88.27% 0 0.19% 70.16% 95.15% 87.98% 95.80% 4

Medway NHS Foundation Trust 75.30% 76.24% 31 3.97% 79.30% 83.78% 94.52% 94.39% 9

North Bristol NHS Trust 81.95% 87.64% 44 0.81% 88.92% 93.56% 93.98% 98.34% 8

Northern Devon Healthcare NHS Trust 92.43% 89.63% 0 0.98% 87.94% 94.27% 81.69% 99.20% 1

Oxford Health NHS Foundation Trust 97.73% 0

Oxford University Hospitals NHS Foundation Trust 84.84% 90.37% 9 0.93% 76.07% 93.06% 97.39% 96.23% 10

Oxleas NHS Foundation Trust 95.81% 0 2.91% 0

Plymouth Hospitals NHS Trust 83.32% 85.75% 89 3.71% 77.84% 90.60% 57.72% 97.39% 12

Poole Hospital NHS Foundation Trust 92.65% 92.58% 0 1.05% 87.32% 99.26% 99.44% 99.18% 3

Portsmouth Hospitals NHS Trust 75.77% 91.34% 0 0.94% 86.16% 97.01% 95.66% 99.06% 9

Queen Victoria Hospital NHS Foundation Trust 99.80% 91.49% 4 0.00% 84.56% 94.79% 92.90% 0

Royal Berkshire NHS Foundation Trust 91.39% 93.41% 0 0.46% 86.09% 96.65% 97.42% 97.41% 4

Royal Cornwall Hospitals NHS Trust 79.11% 92.12% 1 1.35% 88.20% 97.63% 97.56% 98.01% 4

Royal Devon and Exeter NHS Foundation Trust 92.05% 90.69% 2 0.50% 79.37% 83.99% 37.23% 96.77% 4

4.2 Operational performance by providers – South (2/2)

38


(92%)

RTT 52

weeks

Diagnostics

(<1.00%)

Cancer 62

days - GP

referral (85%)

Cancer 2

weeks - GP

referral (93%)

Cancer 2

weeks -

breast

symptoms

Cancer 31

days - GP

referral (96%)

C.Diff cases

Royal Surrey County Hospital NHS Foundation Trust 92.20% 90.16% 1 7.42% 77.98% 98.60% 97.29% 97.39% 4

Royal United Hospitals Bath NHS Foundation Trust 77.94% 90.34% 0 1.11% 86.02% 94.81% 87.87% 99.20% 10

Salisbury NHS Foundation Trust 87.60% 90.02% 0 2.73% 83.92% 91.91% 79.03% 97.04% 2

Solent NHS Trust 98.56% 0 0

Somerset Partnership NHS Foundation Trust 99.65% 98.75% 0 0

Southern Health NHS Foundation Trust 99.46% 94.89% 0 0.00% 0

Surrey And Sussex Healthcare NHS Trust 91.11% 90.14% 19 0.19% 86.97% 94.78% 94.68% 98.43% 11

Sussex Community NHS Trust 97.23% 97.54% 0 0.15% 0.00% 0

Taunton and Somerset NHS Foundation Trust 92.86% 85.08% 18 4.33% 78.33% 94.71% 95.97% 98.68% 0

The Royal Bournemouth and Christchurch Hospitals NHS Foundation Trust 93.01% 91.73% 0 0.02% 85.60% 97.63% 92.00% 98.89% 3

Torbay and South Devon NHS Foundation Trust 90.22% 87.54% 17 1.74% 87.60% 97.35% 93.23% 97.54% 3

University Hospital Southampton NHS Foundation Trust 85.58% 92.39% 0 0.69% 78.60% 94.61% 93.17% 96.47% 14

University Hospitals Bristol NHS Foundation Trust 81.53% 91.12% 2 1.35% 81.49% 95.93% 96.94% 4

Western Sussex Hospitals NHS Foundation Trust 93.59% 92.01% 0 0.84% 88.05% 97.16% 96.59% 99.27% 10

Weston Area Health NHS Trust 70.53% 94.44% 0 0.00% 76.61% 82.82% 87.37% 100.00% 4

Yeovil District Hospital NHS Foundation Trust 96.80% 93.11% 0 0.45% 91.72% 95.49% 97.86% 98.64% 3

South 86.89% 89.95% 363 1.23% 81.56% 94.07% 90.34% 97.59% 238

4.2 Operational performance by providers – Ambulance

39

Cat A Red 1 (75%) Cat A Red 2 (75%) Cat A 19 (95%)

East Midlands 69.82% 57.41% 84.20%

East of England 70.34% 62.51% 91.35%

Isle of Wight 65.45% 67.58% 90.45%

London 71.16% 67.67% 93.29%

North East 71.12% 56.24% 86.24%

North West 64.01% 61.00% 88.05%

South Central 75.42% 73.31% 94.86%

South East Coast 66.33% 48.67% 87.23%

4.3 Operational performance by delivery boards – A&E (1/9)

40

The performance shown below cover all providers, including independent service providers

Delivery Board Organisation Name Total A&E

Attendances

Attendances Over 4 hours

(Breaches)

Performance of main A&E department

(Type1,Type2,Type3)

Aggregate performance of all other providers in

patch (Type2,Type3)

Performance for the deliver Board

(Type1,Type2,Type3)

BANES A&E DELIVERY BOARD ROYAL UNITED HOSPITALS BATH NHS FOUNDATION TRUST 19,978 4,408 77.94% 77.94%

Total 19,978 4,408 77.94% 77.94%

BARNET & ENFIELD A&E DELIVERY BOARD

ROYAL FREE LONDON NHS FOUNDATION TRUST 63,289 9,443 85.08% 85.08%

EDMONTON GP WALK IN CENTRE 3,323 0 100.00% 100.00%

Total 66,612 9,443 85.08% 100.00% 85.82%

BARNSLEY A&E DELIVERY BOARD BARNSLEY HOSPITAL NHS FOUNDATION TRUST 20,374 2,374 88.35% 88.35%

Total 20,374 2,374 88.35% 88.35%

BEDFORDSHIRE A&E DELIVERY BOARD

BEDFORD HOSPITAL NHS TRUST 17,956 1,305 92.73% 92.73%

PUTNOE MEDICAL CENTRE WALK IN CENTRE 6,809 0 100.00% 100.00%

Total 24,765 1,305 92.73% 100.00% 94.73%

BERKSHIRE EAST A&E DELIVERY BOARD

BRACKNELL URGENT CARE CENTRE WIC 8,792 2 99.98% 99.98%

ASSURA READING LLP 9,916 95 99.04% 99.04%

BERKSHIRE HEALTHCARE NHS FOUNDATION TRUST 15,526 0 100.00% 100.00%

Total 34,234 97 99.63% 99.72%

BERKSHIRE WEST A&E DELIVERY BOARD ROYAL BERKSHIRE NHS FOUNDATION TRUST 30,630 2,637 91.39% 91.39%

Total 30,630 2,637 91.39% 91.39%

BHR A&E DELIVERY BOARD

BARKING, HAVERING AND REDBRIDGE UNIVERSITY HOSPITALS NHS TRUST 70,447 10,898 84.53% 84.53%

NORTH EAST LONDON NHS FOUNDATION TRUST 15,280 221 98.55% 98.55%

HAROLD WOOD WALK IN CENTRE 11,419 0 100.00% 100.00%

ORCHARD VILLAGE WALK-IN-CENTRE 2,451 0 100.00% 100.00%

Total 99,597 11,119 84.53% 99.24% 88.84%

BIRMINGHAM & SOLIHULL A&E DELIVERY BOARD

UNIVERSITY HOSPITALS BIRMINGHAM NHS FOUNDATION TRUST 28,425 5,782 79.66% 79.66%

BADGER LTD 4,820 0 100.00% 100.00%

HEART OF ENGLAND NHS FOUNDATION TRUST 65,241 12,736 80.48% 80.48%

ASSURA VERTIS URGENT CARE CENTRES (BIRMINGHAM) 16,011 0 100.00% 100.00%

BIRMINGHAM WIC 9,445 0 100.00% 100.00%

GREET GENERAL PRACTICE & URGENT CARE CENTRE 6,140 0 100.00% 100.00%

SOUTH BIRMINGHAM GP WALK IN CENTRE 16,153 0 100.00% 100.00%

BIRMINGHAM WOMEN'S AND CHILDREN'S NHS FOUNDATION TRUST 15,448 604 96.09% 96.09%

Total 161,683 19,122 82.48% 100.00% 88.17%

BOLTON UEC DELIVERY BOARD BOLTON NHS FOUNDATION TRUST 27,266 4,672 82.87% 82.87%

Total 27,266 4,672 82.87% 82.87%

BRADFORD AND AIREDALE A&E DELIVERY BOARD

BRADFORD TEACHING HOSPITALS NHS FOUNDATION TRUST 32,411 3,320 89.76% 89.76%

AIREDALE NHS FOUNDATION TRUST 15,053 1,213 91.94% 91.94%

Total 47,464 4,533 90.45% 90.45%

BRIGHTON A&E DELIVERY BOARD BRIGHTON AND SUSSEX UNIVERSITY HOSPITALS NHS TRUST 38,624 7,440 80.74% 80.74%

Total 38,624 7,440 80.74% 80.74%


41


Attendances Attendances Over 4 hours (Breaches)


(Type1,Type2,Type3)


patch (Type2,Type3)


(Type1,Type2,Type3)

BRISTOL, NORTH SOMERSET, SOUTH GLOUCESTERSHIRE (BNSSG) A&E DELIVERY BOARD

NORTH BRISTOL NHS TRUST 20,069 3,623 81.95% 81.95%

UNIVERSITY HOSPITALS BRISTOL NHS FOUNDATION TRUST 30,995 5,726 81.53% 81.53%

BRISTOL COMMUNITY HEALTH 13,593 3 99.98% 99.98%

YATE WEST GATE CENTRE 4,009 17 99.58% 99.58%

PAULTON MEMORIAL HOSPITAL 1,746 0 100.00% 100.00%

CLEVEDON HOSPITAL 3,240 0 100.00% 100.00%

Total 73,652 9,369 81.69% 99.91% 87.28%

BROMLEY A&E DELIVERY BOARD

BECKENHAM BEACON UCC 12,409 4 99.97% 99.97%

URGENT CARE CENTRE 28,534 0 100.00% 100.00%

Total 40,943 4 99.99% 99.99%

BUCKINGHAMSHIRE A&E DELIVERY BOARD BUCKINGHAMSHIRE HEALTHCARE NHS TRUST 33,853 3,548 89.52% 89.52%

Total 33,853 3,548 89.52% 89.52%

CALDERDALE AND HUDDERSFIELD A&E DELIVERY BOARD

CALDERDALE AND HUDDERSFIELD NHS FOUNDATION TRUST 36,604 2,041 94.42% 94.42%

LCD-LEEDS-OOH 6,773 0 100.00% 100.00%

LOCAL CARE DIRECT OOH 9,224 0 100.00% 100.00%

Total 52,601 2,041 94.42% 100.00% 96.12%

CAMBRIDGE & ELY A&E DELIVERY BOARD CAMBRIDGE UNIVERSITY HOSPITALS NHS FOUNDATION TRUST 35,870 5,223 85.44% 85.44%

Total 35,870 5,223 85.44% 85.44%

CAMDEN A&E DELIVERY BOARD UNIVERSITY COLLEGE LONDON HOSPITALS NHS FOUNDATION TRUST 33,773 3,913 88.41% 88.41%

Total 33,773 3,913 88.41% 88.41%

CENTRAL CHESHIRE A&E DELIVERY BOARD MID CHESHIRE HOSPITALS NHS FOUNDATION TRUST 20,486 1,697 91.72% 91.72%

Total 20,486 1,697 91.72% 91.72%

CENTRAL LANCASHIRE A&E DELIVERY BOARD

LANCASHIRE TEACHING HOSPITALS NHS FOUNDATION TRUST 33,401 5,571 83.32% 83.32%

ROSSENDALE MINOR INJURIES UNIT 1,042 0 100.00% 100.00%

Total 34,443 5,571 83.32% 100.00% 83.83%

CENTRAL NORFOLK A&E DELIVERY BOARD

NORFOLK AND NORWICH UNIVERSITY HOSPITALS NHS FOUNDATION TRUST 30,017 5,744 80.86% 80.86%

NORWICH PRACTICES LTD (CASTLE MALL) 15,908 0 100.00% 100.00%

Total 45,925 5,744 80.86% 100.00% 87.49%

CHELWEST A&E DELIVERY BOARD

CHELSEA AND WESTMINSTER HOSPITAL NHS FOUNDATION TRUST 70,662 7,363 89.58% 89.58%

CENTRAL LONDON COMMUNITY HEALTHCARE NHS TRUST 55,604 619 98.89% 98.89%

Total 126,266 7,982 89.58% 98.89% 93.68%

CITY & HACKNEY HEALTH AND SOCIAL CARE TRANSFORMATION BOARD

HOMERTON UNIVERSITY HOSPITAL NHS FOUNDATION TRUST 29,129 1,852 93.64% 93.64%

ST ANDREWS WALK-IN CENTRE 5,811 0 100.00% 100.00%

THE BARKANTINE PRACTICE 7,430 0 100.00% 100.00%

Total 42,370 1,852 93.64% 100.00% 95.63%

COASTAL WEST SUSSEX A&E DELIVERY BOARD

WESTERN SUSSEX HOSPITALS NHS FOUNDATION TRUST 34,643 2,219 93.59% 93.59%

QUEEN VICTORIA HOSPITAL NHS FOUNDATION TRUST 2,449 5 99.80% 99.80%

Total 37,092 2,224 93.59% 99.80% 94.00%


42


Attendances


(Breaches)


(Type1,Type2,Type3)


patch (Type2,Type3)


(Type1,Type2,Type3)

CORNWALL A&E DELIVERY BOARD

ROYAL CORNWALL HOSPITALS NHS TRUST 21,084 4,404 79.11% 79.11%

CORNWALL PARTNERSHIP NHS FOUNDATION TRUST 23,207 60 99.74% 99.74%

Total 44,291 4,464 79.11% 99.74% 89.92%

COVENTRY AND RUGBY DELIVERY BOARD

UNIVERSITY HOSPITALS COVENTRY AND WARWICKSHIRE NHS TRUST 45,372 9,530 79.00% 79.00%

NHS COVENTRY HEALTHCARE & WIC 11,529 0 100.00% 100.00%

Total 56,901 9,530 79.00% 100.00% 83.25%

CROYDON A&E DELIVERY BOARD

CROYDON HEALTH SERVICES NHS TRUST 29,551 4,366 85.23% 85.23%

EDRIDGE ROAD COMMUNITY HEALTH CENTRE 6,610 0 100.00% 100.00%

PARKWAY MIU 1,583 0 100.00% 100.00%

PURLEY MIU 1,762 0 100.00% 100.00%

Total 39,506 4,366 85.23% 100.00% 88.95%

DEVON A&E DELIVERY BOARD

PLYMOUTH HOSPITALS NHS TRUST 24,005 4,003 83.32% 83.32%

ROYAL DEVON AND EXETER NHS FOUNDATION TRUST 25,254 2,008 92.05% 92.05%

TORBAY AND SOUTH DEVON NHS FOUNDATION TRUST 24,547 2,400 90.22% 90.22%

NORTHERN DEVON HEALTHCARE NHS TRUST 20,942 1,586 92.43% 92.43%

LIVEWELL SOUTHWEST 10,053 4 99.96% 99.96%

OKEHAMPTON MEDICAL CENTRE 420 0 100.00% 100.00%

Total 105,221 10,001 89.45% 99.96% 90.50%

DEVON DELIVERY BOARD

EXMOUTH MINOR INJURY UNIT 2,347 0 100.00% 100.00%

SOUTH WESTERN AMBULANCE SERVICE NHS FOUNDATION TRUST 3,534 0 100.00% 100.00%

Total 5,881 0 100.00% 100.00%

DGS (ALSO CALLED NORTH KENT) A&E DELIVERY BOARD DARTFORD AND GRAVESHAM NHS TRUST 29,686 4,450 85.01% 85.01%

Total 29,686 4,450 85.01% 85.01%

DONCASTER & BASSETLAW A&E DELIVERY BOARD DONCASTER AND BASSETLAW TEACHING HOSPITALS NHS FOUNDATION TRUST 39,381 4,385 88.87% 88.87%

Total 39,381 4,385 88.87% 88.87%

DORSET A&E DELIVERY BOARD

DORSET COUNTY HOSPITAL NHS FOUNDATION TRUST 20,978 460 97.81% 97.81%

POOLE HOSPITAL NHS FOUNDATION TRUST 19,436 1,428 92.65% 92.65%

THE ROYAL BOURNEMOUTH AND CHRISTCHURCH HOSPITALS NHS FOUNDATION TRUST 22,012 1,539 93.01% 93.01%

Total 62,426 3,427 94.51% 94.51%

DUDLEY A&E DELIVERY BOARD THE DUDLEY GROUP NHS FOUNDATION TRUST 44,715 3,646 91.85% 91.85%

Total 44,715 3,646 91.85% 91.85%

DURHAM AND DARLINGTON A&E DELIVERY BOARD COUNTY DURHAM AND DARLINGTON NHS FOUNDATION TRUST 62,646 5,152 91.78% 91.78%

Total 62,646 5,152 91.78% 91.78%

EAST & NORTH HERTFORDSHIRE A&E DELIVERY BOARD

EAST AND NORTH HERTFORDSHIRE NHS TRUST 39,140 6,373 83.72% 83.72%

HAVERSTOCK HEALTHCARE (CHESHUNT COMMUNITY HOSPITAL) 5,628 2 99.96% 99.96%

HERTFORDSHIRE COMMUNITY NHS TRUST 2,545 17 99.33% 99.33%

Total 47,313 6,392 83.72% 99.77% 86.49%


43




(Type1,Type2,Type3)


patch (Type2,Type3)


(Type1,Type2,Type3)

EAST KENT A&E DELIVERY BOARD

EAST KENT HOSPITALS UNIVERSITY NHS FOUNDATION TRUST 50,249 12,225 75.67% 75.67%

WHITSTABLE MEDICAL PRACTICE 6,184 0 100.00% 100.00%

Total 56,433 12,225 75.67% 100.00% 78.34%

EAST STAFFORDSHIRE A&E DELIVERY BOARD BURTON HOSPITALS NHS FOUNDATION TRUST 27,248 1,928 92.92% 92.92%

Total 27,248 1,928 92.92% 92.92%

EAST SUSSEX A&E DELIVERY BOARD

EAST SUSSEX HEALTHCARE NHS TRUST 26,164 6,060 76.84% 76.84%

SUSSEX COMMUNITY NHS FOUNDATION TRUST 24,109 669 97.23% 97.23%

Total 50,273 6,729 76.84% 97.23% 86.62%

EASTERN CHESHIRE A&E DELIVERY BOARD EAST CHESHIRE NHS TRUST 11,896 2,632 77.87% 77.87%

Total 11,896 2,632 77.87% 77.87%

EPSOM ST HELIER A&E DELIVERY BOARD EPSOM AND ST HELIER UNIVERSITY HOSPITALS NHS TRUST 36,461 1,666 95.43% 95.43%

Total 36,461 1,666 95.43% 95.43%

ESSEX SUCCESS REGIME

MID ESSEX HOSPITAL SERVICES NHS TRUST 23,653 4,012 83.04% 83.04%

SOUTHEND UNIVERSITY HOSPITAL NHS FOUNDATION TRUST 23,912 3,243 86.44% 86.44%

BASILDON AND THURROCK UNIVERSITY HOSPITALS NHS FOUNDATION TRUST 33,298 3,307 90.07% 90.07%

Total 80,863 10,562 86.94% 86.94%

FLYDE COAST A&E DELIVERY BOARD BLACKPOOL TEACHING HOSPITALS NHS FOUNDATION TRUST 47,090 7,040 85.05% 85.05%

Total 47,090 7,040 85.05% 85.05%

FRIMLEY SOUTH A&E DELIVERY BOARD FRIMLEY HEALTH NHS FOUNDATION TRUST 57,218 6,252 89.07% 89.07%

Total 57,218 6,252 89.07% 89.07%

GATESHEAD & NEWCASTLE A&E DELIVERY BOARD

THE NEWCASTLE UPON TYNE HOSPITALS NHS FOUNDATION TRUST 48,741 3,619 92.58% 92.58%

GATESHEAD HEALTH NHS FOUNDATION TRUST 28,371 1,406 95.04% 95.04%

Total 77,112 5,025 93.48% 93.48%

GLOUCESTERSHIRE A&E DELIVERY BOARD

GLOUCESTERSHIRE HOSPITALS NHS FOUNDATION TRUST 31,888 7,500 76.48% 76.48%

GLOUCESTERSHIRE CARE SERVICES NHS TRUST 15,610 72 99.54% 99.54%

TETBURY HOSPITAL TRUST LTD 488 0 100.00% 100.00%

Total 47,986 7,572 76.48% 99.55% 84.22%

GREAT YARMOUTH & WAVENEY A&E DELIVERY BOARD

JAMES PAGET UNIVERSITY HOSPITALS NHS FOUNDATION TRUST 17,694 1,741 90.16% 90.16%

EAST COAST COMMUNITY HEALTHCARE C.I.C 318 0 100.00% 100.00%

Total 18,012 1,741 90.16% 100.00% 90.33%

GREATER NOTTINGHAM A&E DELIVERY BOARD

NOTTINGHAM UNIVERSITY HOSPITALS NHS TRUST 47,621 9,742 79.54% 79.54%

NOTTINGHAM CITYCARE PARTNERSHIP 14,495 960 93.38% 93.38%

Total 62,116 10,702 79.54% 93.38% 82.77%

GUILDFORD AND WAVERLEY A&E DELIVERY BOARD ROYAL SURREY COUNTY HOSPITAL NHS FOUNDATION TRUST 16,403 1,279 92.20% 92.20%

Total 16,403 1,279 92.20% 92.20%

HAMBLETON, RICHMOND & WHITBY AND SOUTH TEES A&E DELIVERY BOARD

SOUTH TEES HOSPITALS NHS FOUNDATION TRUST 44,561 2,648 94.06% 94.06%

Total 44,561 2,648 94.06% 94.06%

HARINGEY LOCAL A&E DELIVERY BOARD NORTH MIDDLESEX UNIVERSITY HOSPITAL NHS TRUST 42,919 8,027 81.30% 81.30%

Total 42,919 8,027 81.30% 81.30%


44


Attendances


(Breaches)


(Type1,Type2,Type3)


patch (Type2,Type3)


(Type1,Type2,Type3)

HARROGATE AND RURAL DISTRICT A&E DELIVERY BOARD

HARROGATE AND DISTRICT NHS FOUNDATION TRUST 13,202 605 95.42% 95.42%

Total 13,202 605 95.42% 95.42%

HEREFORDSHIRE A&E DELIVERY BOARD WYE VALLEY NHS TRUST 21,539 2,940 86.35% 86.35%

Total 21,539 2,940 86.35% 86.35%

HERTS VALLEY A&E DELIVERY BOARD WEST HERTFORDSHIRE HOSPITALS NHS TRUST 33,443 7,677 77.04% 77.04%

Total 33,443 7,677 77.04% 77.04%

HILLINGDON A&E DELIVERY BOARD

THE HILLINGDON HOSPITALS NHS FOUNDATION TRUST 40,457 7,001 82.70% 82.70%

THE RIDGEWAY SURGERY 10,246 0 100.00% 100.00%

Total 50,703 7,001 82.70% 100.00% 86.19%

HOUNSLOW AND RICHMOND COMMUNITY HEALTHCARE NHS TRUST 13,077 5 99.96% 99.96%

Total 13,077 5 99.96% 99.96%

HULL & EAST YORKSHIRE A&E DELIVERY BOARD

HULL AND EAST YORKSHIRE HOSPITALS NHS TRUST 35,692 4,715 86.79% 86.79%

HUMBER NHS FOUNDATION TRUST 4,253 3 99.93% 99.93%

BRANSHOLME HEALTH CENTRE 4,299 2 99.95% 99.95%

FREEDOM CENTRE 250 0 100.00% 100.00%

Total 44,494 4,720 86.79% 99.94% 89.39%

ICHT A&E DELIVERY BOARD IMPERIAL COLLEGE HEALTHCARE NHS TRUST 71,438 8,858 87.60% 87.60%

Total 71,438 8,858 87.60% 87.60%

IPSWICH & EAST SUFFOLK A&E DELIVERY BOARD IPSWICH HOSPITAL NHS TRUST 21,884 2,356 89.23% 89.23%

Total 21,884 2,356 89.23% 89.23%

ISLE OF WIGHT A&E DELIVERY BOARD ISLE OF WIGHT NHS TRUST 13,499 2,207 83.65% 83.65%

Total 13,499 2,207 83.65% 83.65%

ISLINGTON A&E DELIVERY BOARD

THE WHITTINGTON HOSPITAL NHS TRUST 24,214 3,399 85.96% 85.96%

MOORFIELDS EYE HOSPITAL NHS FOUNDATION TRUST 24,311 482 98.02% 98.02%

Total 48,525 3,881 85.96% 98.02% 92.00%

KINGSTON & RICHMOND A&E DELIVERY BOARD KINGSTON HOSPITAL NHS FOUNDATION TRUST 28,501 3,745 86.86% 86.86%

Total 28,501 3,745 86.86% 86.86%

LAMBETH & SOUTHWARK A&E DELIVERY BOARD

KING'S COLLEGE HOSPITAL NHS FOUNDATION TRUST 69,611 13,392 80.76% 80.76%

GUY'S AND ST THOMAS' NHS FOUNDATION TRUST 45,454 5,419 88.08% 88.08%

THE JUNCTION HC - UNREGISTERED PATIENTS 9,046 0 100.00% 100.00%

Total 124,111 18,811 83.65% 100.00% 84.84%

LEEDS A&E DELIVERY BOARD

LEEDS TEACHING HOSPITALS NHS TRUST 57,206 8,182 85.70% 85.70%

SHAKESPEARE WALK-IN CENTRE 5,769 0 100.00% 100.00%

Total 62,975 8,182 85.70% 100.00% 87.01%


45




(Type1,Type2,Type3)


patch (Type2,Type3)


(Type1,Type2,Type3)

LEICESTER, LEICESTERSHIRE & RUTLAND A&E DELIVERY BOARD

UNIVERSITY HOSPITALS OF LEICESTER NHS TRUST 57,517 10,410 81.90% 81.90%

LOUGHBOROUGH URGENT CARE CENTRE 10,735 214 98.01% 98.01%

OADBY & WIGSTON URGENT CARE CENTRE 8,703 60 99.31% 99.31%

MARKET HARBOROUGH URGENT CARE CENTRE 1,687 3 99.82% 99.82%

OAKHAM URGENT CARE CENTRE 796 2 99.75% 99.75%

LATHAM HOUSE MEDICAL PRACTICE 1,145 0 100.00% 100.00%

MARKET HARBOROUGH MED.CTR 956 0 100.00% 100.00%

MELTON MOWBRAY URGENT CARE CENTRE 1,709 6 99.65% 99.65%

OAKHAM MEDICAL PRACTICE 774 0 100.00% 100.00%

SSAFA CARE WALK-IN-CENTRE 3,887 0 100.00% 100.00%

Total 87,909 10,695 81.90% 99.06% 87.83%

LEWISHAM, GREENWICH AND BEXLEY A&E DELIVERY BOARD

LEWISHAM AND GREENWICH NHS TRUST 69,209 10,819 84.37% 84.37%

WALDRON - HURLEY UNREGISTERED PRACTICE 7,379 0 100.00% 100.00%

Total 76,588 10,819 84.37% 100.00% 85.87%

LINCOLNSHIRE A&E DELIVERY BOARD

UNITED LINCOLNSHIRE HOSPITALS NHS TRUST 36,545 8,473 76.81% 76.81%

LINCOLNSHIRE COMMUNITY HEALTH SERVICES NHS TRUST 39,355 349 99.11% 99.11%

Total 75,900 8,822 76.81% 99.11% 88.38%

LNWHT A&E DELIVERY BOARD

LONDON NORTH WEST HEALTHCARE NHS TRUST 82,983 15,821 80.93% 80.93%

Total 82,983 15,821 80.93% 80.93%

LUTON AND DUNSTABLE UNIVERSITY HOSPITAL NHS FOUNDATION TRUST 35,780 554 98.45% 98.45%

Total 35,780 554 98.45% 98.45%

MANCHESTER CITY-WIDE URGENT CARE TRANSFORMATION AND DELIVERY BOARD

UNIVERSITY HOSPITAL OF SOUTH MANCHESTER NHS FOUNDATION TRUST 24,006 2,944 87.74% 87.74%

CENTRAL MANCHESTER UNIVERSITY HOSPITALS NHS FOUNDATION TRUST 76,011 7,413 90.25% 90.25%

Total 100,017 10,357 89.64% 89.64%

MEDWAY & SWALE A&E DELIVERY BOARD MEDWAY NHS FOUNDATION TRUST 28,000 6,915 75.30% 75.30%

Total 28,000 6,915 75.30% 75.30%

MID MERSEY, WARRINGTON &HALTON A&E DELIVERY BOARD

ST HELENS AND KNOWSLEY HOSPITAL SERVICES NHS TRUST 41,393 6,529 84.23% 84.23%

ROYAL LIVERPOOL AND BROADGREEN UNIVERSITY HOSPITALS NHS TRUST 56,924 7,017 87.67% 87.67%

WARRINGTON AND HALTON HOSPITALS NHS FOUNDATION TRUST 30,385 3,902 87.16% 87.16%

ALDER HEY CHILDREN'S NHS FOUNDATION TRUST 14,714 484 96.71% 96.71%

LIVERPOOL WOMEN'S NHS FOUNDATION TRUST 3,233 64 98.02% 98.02%

BRIDGEWATER COMMUNITY HEALTHCARE NHS FOUNDATION TRUST 22,599 367 98.38% 98.38%

LIVERPOOL COMMUNITY HEALTH NHS TRUST 6,873 0 100.00% 100.00%

NORTH WEST BOROUGHS HEALTHCARE NHS FOUNDATION TRUST 5,628 0 100.00% 100.00%

Total 181,749 18,363 87.50% 98.88% 89.90%

MID YORKSHIRE A&E DELIVERY BOARD MID YORKSHIRE HOSPITALS NHS TRUST 57,262 9,051 84.19% 84.19%

Total 57,262 9,051 84.19% 84.19%


46


Attendances


(Breaches)


(Type1,Type2,Type3)


patch (Type2,Type3)


(Type1,Type2,Type3)

MID-NOTTINGHAMSHIRE A&E DELIVERY BOARD SHERWOOD FOREST HOSPITALS NHS FOUNDATION TRUST 36,353 2,181 94.00% 94.00%

Total 36,353 2,181 94.00% 94.00%

MILTON KEYNES A&E DELIVERY BOARD MILTON KEYNES UNIVERSITY HOSPITAL NHS FOUNDATION TRUST 34,684 3,723 89.27% 89.27%

Total 34,684 3,723 89.27% 89.27%

MORECAMBE BAY A&E DELIVERY BOARD UNIVERSITY HOSPITALS OF MORECAMBE BAY NHS FOUNDATION TRUST 24,767 4,606 81.40% 81.40%

Total 24,767 4,606 81.40% 81.40%

NORHT TEES A&E DELIVERY BOARD NORTH TEES AND HARTLEPOOL NHS FOUNDATION TRUST 21,201 1,339 93.68% 93.68%

Total 21,201 1,339 93.68% 93.68%

NORTH AND MID HAMPSHIRE A&E DELIVERY BOARD

HAMPSHIRE HOSPITALS NHS FOUNDATION TRUST 29,108 3,406 88.30% 88.30%

ST MARY'S NHS TREATMENT CENTRE 13,376 55 99.59% 99.59%

Total 42,484 3,461 88.30% 99.59% 91.85%

NORTH EAST ESSEX A&E DELIVERY BOARD

COLCHESTER HOSPITAL UNIVERSITY NHS FOUNDATION TRUST 34,572 3,057 91.16% 91.16%

FRYATT HOSPITAL 1,621 1 99.94% 99.94%

CLACTON HOSPITAL 6,505 7 99.89% 99.89%

Total 42,698 3,065 91.16% 99.90% 92.82%

NORTH EAST SECTOR UEC DELIVERY BOARD

PENNINE ACUTE HOSPITALS NHS TRUST 77,513 16,457 78.77% 78.77%

PENNINE CARE NHS FOUNDATION TRUST 10,267 0 100.00% 100.00%

Total 87,780 16,457 78.77% 100.00% 81.25%

NORTH LINCOLNSHIRE AND NORTH EAST LINCOLNSHIRE A&E DELIVERY BOARD

NORTHERN LINCOLNSHIRE AND GOOLE NHS FOUNDATION TRUST 36,197 7,077 80.45% 80.45%

Total 36,197 7,077 80.45% 80.45%

NORTH MERSEY & SOUTHPORT A&E DELIVERY BOARD

AINTREE UNIVERSITY HOSPITAL NHS FOUNDATION TRUST 40,858 6,042 85.21% 85.21%

SOUTHPORT AND ORMSKIRK HOSPITAL NHS TRUST 32,885 3,869 88.23% 88.23%

Total 73,743 9,911 86.56% 86.56%

NORTH NORTHAMPTONSHIRE A&E DELIVERY BOARD

KETTERING GENERAL HOSPITAL NHS FOUNDATION TRUST 21,328 5,143 75.89% 75.89%

CORBY URGENT CARE CENTRE 17,878 241 98.65% 98.65%

Total 39,206 5,384 75.89% 98.65% 86.27%

NORTH STAFFS/UHNM A&E DELIVERY BOARD UNIVERSITY HOSPITALS OF NORTH MIDLANDS NHS TRUST 56,486 12,573 77.74% 77.74%

Total 56,486 12,573 77.74% 77.74%

NORTH TYNESIDE AND NORTHUMBERLAND A&E DELIVERY BOARD

NORTHUMBRIA HEALTHCARE NHS FOUNDATION TRUST 46,011 3,541 92.30% 92.30%

Total 46,011 3,541 92.30% 92.30%

NORTHERN DERBYSHIRE A&E DELIVERY BOARD

CHESTERFIELD ROYAL HOSPITAL NHS FOUNDATION TRUST 19,373 2,727 85.92% 85.92%

DERBYSHIRE COMMUNITY HEALTH SERVICES NHS FOUNDATION TRUST 13,951 1 99.99% 99.99%

Total 33,324 2,728 85.92% 99.99% 91.81%

NW SURREY A&E DELIVERY BOARD

ASHFORD AND ST PETER'S HOSPITALS NHS FOUNDATION TRUST 28,427 4,550 83.99% 83.99%

ASHFORD HEALTH CENTRE 9,908 23 99.77% 99.77%

Total 38,335 4,573 83.99% 99.77% 88.07%


47


Attendances


(Breaches)

Performance of main A&E

department (Type1,Type2,Type3)


patch (Type2,Type3)


(Type1,Type2,Type3)

OXFORDSHIRE A&E DELIVERY BOARD

OXFORD UNIVERSITY HOSPITALS NHS FOUNDATION TRUST 36,382 5,514 84.84% 84.84%

OXFORD HEALTH NHS FOUNDATION TRUST 7,743 176 97.73% 97.73%

Total 44,125 5,690 84.84% 97.73% 87.10%

PENNIE LANCASHIRE A&E DELIVERY BOARD

EAST LANCASHIRE HOSPITALS NHS TRUST 45,214 9,366 79.29% 79.29%

LINDLEY HOUSE HEALTH CENTRE 12,198 0 100.00% 100.00%

Total 57,412 9,366 79.29% 100.00% 83.69%

Peterborough, Stamford & Hinchingbrooke

HINCHINGBROOKE HEALTH CARE NHS TRUST 10,690 2,054 80.79% 80.79%

NORTH WEST ANGLIA NHS FOUNDATION TRUST 24,370 4,375 82.05% 82.05%

Total 35,060 6,429 81.66% 81.66%

PORTSMOUTH AND SE HANTS A&E DELIVERY BOARD PORTSMOUTH HOSPITALS NHS TRUST 33,774 8,184 75.77% 75.77%

Total 33,774 8,184 75.77% 75.77%

ROTHERHAM A&E DELIVERY BOARD THE ROTHERHAM NHS FOUNDATION TRUST 30,801 4,365 85.83% 85.83%

Total 30,801 4,365 85.83% 85.83%

SALFORD UEC DELIVERY BOARD SALFORD ROYAL NHS FOUNDATION TRUST 24,788 5,011 79.78% 79.78%

Total 24,788 5,011 79.78% 79.78%

SANDWELL & WEST BIRMINGHAM A&E DELIVERY BOARD

SANDWELL AND WEST BIRMINGHAM HOSPITALS NHS TRUST 55,358 8,859 84.00% 84.00%

SUMMERFIELD GP SURG & URGENT CARE CENTRE 10,609 0 100.00% 100.00%

Total 65,967 8,859 84.00% 100.00% 86.57%

SHEFFIELD A&E DELIVERY BOARD

SHEFFIELD TEACHING HOSPITALS NHS FOUNDATION TRUST 50,403 7,827 84.47% 84.47%

SHEFFIELD CHILDREN'S NHS FOUNDATION TRUST 14,331 415 97.10% 97.10%

Total 64,734 8,242 87.27% 87.27%

SHROPSHIRE A&E DELIVERY BOARD

SHREWSBURY AND TELFORD HOSPITAL NHS TRUST 33,364 7,596 77.23% 77.23%

SHROPSHIRE COMMUNITY HEALTH NHS TRUST 6,073 0 100.00% 100.00%

Total 39,437 7,596 77.23% 100.00% 80.74%

SOMERSET A&E DELIVERY BOARD

TAUNTON AND SOMERSET NHS FOUNDATION TRUST 15,343 1,096 92.86% 92.86%

YEOVIL DISTRICT HOSPITAL NHS FOUNDATION TRUST 11,149 357 96.80% 96.80%

SOMERSET PARTNERSHIP NHS FOUNDATION TRUST 19,024 67 99.65% 99.65%

Total 45,516 1,520 94.52% 99.65% 96.66%

SOUTH NORTHAMPTONSHIRE A&E DELIVERY BOARD NORTHAMPTON GENERAL HOSPITAL NHS TRUST 28,065 4,961 82.32% 82.32%

Total 28,065 4,961 82.32% 82.32%

SOUTH TYNESIDE A&E DELIVERY BOARD SOUTH TYNESIDE NHS FOUNDATION TRUST 16,275 1,114 93.16% 93.16%

Total 16,275 1,114 93.16% 93.16%

SOUTH WARWICKSHIRE A&E DELIVERY BOARD SOUTH WARWICKSHIRE NHS FOUNDATION TRUST 16,950 802 95.27% 95.27%

Total 16,950 802 95.27% 95.27%

SOUTH WEST HAMPSHIRE A&E DELIVERY BOARD

UNIVERSITY HOSPITAL SOUTHAMPTON NHS FOUNDATION TRUST 28,491 4,107 85.58% 85.58%

SOUTHERN HEALTH NHS FOUNDATION TRUST 5,978 32 99.46% 99.46%

SOUTHAMPTON NHS TREATMENT CENTRE 12,614 10 99.92% 99.92%

Total 47,083 4,149 85.58% 99.77% 91.19%

SOUTHERN DERBYSHIRE A&E DELIVERY BOARD

DERBY TEACHING HOSPITALS NHS FOUNDATION TRUST 44,879 5,540 87.66% 87.66%

DERBYSHIRE HEALTH UNITED LTD 5,364 18 99.66% 99.66%

Total 50,243 5,558 87.66% 99.66% 88.94%

STOCKPORT A&E DELIVERY BOARD STOCKPORT NHS FOUNDATION TRUST 22,262 5,487 75.35% 75.35%

Total 22,262 5,487 75.35% 75.35%

SUNDERLAND A&E DELIVERY BOARD

CITY HOSPITALS SUNDERLAND NHS FOUNDATION TRUST 37,453 3,772 89.93% 89.93%

NORTHERN DOCTORS URGENT CARE 19,632 689 96.49% 96.49%

Total 57,085 4,461 89.93% 96.49% 92.19%


48




(Type1,Type2,Type3)


patch (Type2,Type3)


(Type1,Type2,Type3)

SURREY AND SUSSEX HEALTHCARE A&E DELIVERY BOARD

SURREY AND SUSSEX HEALTHCARE NHS TRUST 23,197 2,063 91.11% 91.11%

WEYBRIDGE WALK IN CENTRE 7,702 48 99.38% 99.38%

HASLEMERE MINOR INJURIES UNIT 1,941 20 98.97% 98.97%

WOKING WALK IN CENTRE 8,961 33 99.63% 99.63%

Total 41,801 2,164 91.11% 99.46% 94.82%

SWINDON A&E DELIVERY BOARD

GREAT WESTERN HOSPITALS NHS FOUNDATION TRUST 34,209 6,063 82.28% 82.28%

CARFAX HEALTH ENTERPRISE 6,540 82 98.75% 98.75%

Total 40,749 6,145 82.28% 98.75% 84.92%

TAMESIDE & GLOSSOP A&E DELIVERY BOARD TAMESIDE AND GLOSSOP INTEGRATED CARE NHS FOUNDATION TRUST 20,779 3,342 83.92% 83.92%

Total 20,779 3,342 83.92% 83.92%

WALSALL A&E DELIVERY BOARD

WALSALL HEALTHCARE NHS TRUST 28,977 6,080 79.02% 79.02%

WALSALL URGENT CARE CENTRE (COMMUNITY SITE) 11,530 0 100.00% 100.00%

Total 40,507 6,080 79.02% 100.00% 84.99%

WANDSWORTH & MERTON EMERGENCY CARE DELIVERY BOARD

ST GEORGE'S UNIVERSITY HOSPITALS NHS FOUNDATION TRUST 41,152 4,724 88.52% 88.52%

Total 41,152 4,724 88.52% 88.52%

WARWICKSHIRE NORTH A&E DELIVERY BOARD GEORGE ELIOT HOSPITAL NHS TRUST 18,642 3,194 82.87% 82.87%

Total 18,642 3,194 82.87% 82.87%

WEL LOCAL A&E DELIVERY BOARD BARTS HEALTH NHS TRUST 119,574 20,035 83.24% 83.24%

Total 119,574 20,035 83.24% 83.24%

WEST CHESHIRE AND WIRRAL A&E DELIVERY BOARD

WIRRAL UNIVERSITY TEACHING HOSPITAL NHS FOUNDATION TRUST 30,185 6,098 79.80% 79.80%

COUNTESS OF CHESTER HOSPITAL NHS FOUNDATION TRUST 18,723 2,729 85.42% 85.42%

WIRRAL COMMUNITY NHS FOUNDATION TRUST 13,111 154 98.83% 98.83%

Total 62,019 8,981 81.95% 98.83% 85.52%

WEST KENT A&E DELIVERY BOARD

MAIDSTONE AND TUNBRIDGE WELLS NHS TRUST 38,911 6,300 83.81% 83.81%

KENT COMMUNITY HEALTH NHS FOUNDATION TRUST 27,137 33 99.88% 99.88%

Total 66,048 6,333 83.81% 99.88% 90.41%

WEST NORFOLK THE QUEEN ELIZABETH HOSPITAL, KING'S LYNN, NHS FOUNDATION TRUST 14,869 1,613 89.15% 89.15%

Total 14,869 1,613 89.15% 89.15%

WEST SUFFOLK A&E DELIVERY BOARD WEST SUFFOLK NHS FOUNDATION TRUST 16,290 1,912 88.26% 88.26%

Total 16,290 1,912 88.26% 88.26%

WEST, NORTH AND EAST CUMBRIA A&E DELIVERY BOARD

NORTH CUMBRIA UNIVERSITY HOSPITALS NHS TRUST 21,613 3,601 83.34% 83.34%

CUMBRIA PARTNERSHIP NHS FOUNDATION TRUST 4,745 109 97.70% 97.70%

WORKINGTON HEALTH LIMITED 1,238 0 100.00% 100.00%

Total 27,596 3,710 83.34% 98.18% 86.56%

WIGAN BOROUGH SYSTEM RESILIENCE GROUP WRIGHTINGTON, WIGAN AND LEIGH NHS FOUNDATION TRUST 21,198 3,603 83.00% 83.00%

Total 21,198 3,603 83.00% 83.00%

WILTSHIRE A&E DELIVERY BOARD

SALISBURY NHS FOUNDATION TRUST 11,512 1,427 87.60% 87.60%

SALISBURY WALK-IN HC 3,897 0 100.00% 100.00%

Total 15,409 1,427 87.60% 100.00% 90.74%

WOLVERHAMPTON A&E DELIVERY BOARD THE ROYAL WOLVERHAMPTON NHS TRUST 56,452 6,083 89.22% 89.22%

Total 56,452 6,083 89.22% 89.22%

WORCESTERSHIRE A&E DELIVERY BOARD

WORCESTERSHIRE ACUTE HOSPITALS NHS TRUST 42,900 8,845 79.38% 79.38%

WORCESTERSHIRE HEALTH AND CARE NHS TRUST 726 0 100.00% 100.00%

Total 43,626 8,845 79.38% 100.00% 79.73%

YORK AND SCARBOROUGH A&E DELIVERY BOARD YORK TEACHING HOSPITAL NHS FOUNDATION TRUST 43,779 7,367 83.17% 83.17%

Total 43,779 7,367 83.17% 83.17%

49

5.0 Agency Staff Costs

5.1 Performance against agency ceiling

Trust Name

Trusts with the lowest agency spending relative to their ceiling – YTD at Q4 Trusts with the highest agency spending relative to their ceiling – YTD at Q4

Rank

1 West Midlands Ambulance Service NHS Foundation Trust

2 North East Ambulance Service NHS Foundation Trust

3 The Newcastle Upon Tyne Hospitals NHS Foundation Trust

4 University College London Hospitals NHS Foundation Trust

5 Birmingham Women's NHS Foundation Trust

6 Birmingham Children's Hospital NHS Foundation Trust

7 Cheshire And Wirral Partnership NHS Foundation Trust

8 Cambridge University Hospitals NHS Foundation Trust

9 Liverpool Women’s NHS Foundation Trust

10 Staffordshire and Stoke on Trent Partnership NHS Trust

11 East Midlands Ambulance Service NHS Trust

12 Royal Surrey County Hospital NHS Foundation Trust

13 Bradford District Care NHS Foundation Trust

14 The Christie NHS Foundation Trust

15 Gloucestershire Care Services NHS Trust

16 Liverpool Heart And Chest Hospital NHS Foundation Trust

17 Countess Of Chester Hospital NHS Foundation Trust

18 Dorset Healthcare University NHS Foundation Trust

19 Harrogate And District NHS Foundation Trust

20 East Cheshire NHS Trust

Trust Name

237 North Middlesex University Hospital NHS Trust

236 Weston Area Health NHS Trust

235 The Dudley Group NHS Foundation Trust

234 Great Western Hospitals NHS Foundation Trust

233 West London Mental Health NHS Trust

232 Walsall Healthcare NHS Trust

231 Sandwell and West Birmingham Hospitals NHS Trust

230 Oxford Health NHS Foundation Trust

229 Manchester Mental Health and Social Care Trust

228 South West Yorkshire Partnership NHS Foundation Trust

227 Medway NHS Foundation Trust

226 North Staffordshire Combined Healthcare NHS Trust

225 Greater Manchester West Mental Health NHS Foundation Trust

224 Sussex Partnership NHS Foundation Trust

223 Dartford and Gravesham NHS Trust

222 Gloucestershire Hospitals NHS Foundation Trust

221 Mersey Care NHS Foundation Trust

220 St George's University Hospitals NHS Foundation Trust

219 Cornwall Partnership NHS Foundation Trust

218 Pennine Acute Hospitals NHS Trust

Rank

5.2 Agency spend as % of total pay

Trust Name

Trusts with the lowest agency spend as % of total pay – YTD at Q4 Trusts with the highest agency spend as % of total pay – YTD at Q4

Rank

1 North East Ambulance Service NHS Foundation Trust

2 West Midlands Ambulance Service NHS Foundation Trust

3 The Christie NHS Foundation Trust

4 The Newcastle Upon Tyne Hospitals NHS Foundation Trust

5 East Midlands Ambulance Service NHS Trust

6 Derbyshire Community Health Services NHS Foundation Trust

7 Cheshire And Wirral Partnership NHS Foundation Trust

8 Birmingham Children's Hospital NHS Foundation Trust

9 Cambridge University Hospitals NHS Foundation Trust

10 University College London Hospitals NHS Foundation Trust

11 East of England Ambulance Service NHS Trust

12 Liverpool Womens NHS Foundation Trust

13 North West Ambulance Service NHS Trust

14 Gloucestershire Care Services NHS Trust

15 Gateshead Health NHS Foundation Trust

16 South Tees Hospitals NHS Foundation Trust

17 Birmingham Women's NHS Foundation Trust

18 Countess Of Chester Hospital NHS Foundation Trust

19 Tavistock And Portman NHS Foundation Trust

20 Liverpool Heart And Chest Hospital NHS Foundation Trust

Trust Name

237 Medway NHS Foundation Trust

236 Weston Area Health NHS Trust

235 Sherwood Forest Hospitals NHS Foundation Trust

234 Hounslow and Richmond Community Healthcare NHS Trust

233 Manchester Mental Health and Social Care Trust

232 South West London and St George's Mental Health NHS Trust

231 Wye Valley NHS Trust

230 Kettering General Hospital NHS Foundation Trust

229 West Hertfordshire Hospitals NHS Trust

228 West London Mental Health NHS Trust

227 Milton Keynes University Hospital NHS Foundation Trust

226 Colchester Hospital University NHS Foundation Trust

225 Croydon Health Services NHS Trust

224 Surrey and Sussex Healthcare NHS Trust

223 Central London Community Healthcare NHS Trust

222 Queen Elizabeth Hospital Kings Lynn NHS Foundation Trust

221 North East London NHS Foundation Trust

220 Oxleas NHS Foundation Trust

219 The Princess Alexandra Hospital NHS Trust

218 George Eliot Hospital NHS Trust

Rank

52

End notes and glossary

End notes

53

1

All financial information in this report is based on final audited accounts with supplementary information drawn from unaudited monitoring returns from

238 licensed NHS trusts and NHS foundation trusts operating during 2016/17. Those licensed providers include 156 NHS foundation trusts (FTs) and

82 NHS Trusts (non-FTs). For foundation trusts authorised during the year, we include their financial data since 1 April 2016 in the foundation trusts’

performance.

2

Surplus/(deficit) comparable to control totals are calculated as surplus/(deficit) before impairments, transfers, donated asset income, and donated

asset depreciation for all trusts. For non-FTs, IFRIC 12 adjustments are also deducted. For most FTs gains/(losses) on asset disposals are excluded

(unless previously agreed)

3

For FTs, the sector reported surplus/(deficit) includes donated asset income, donated asset depreciation and gains/(losses) on asset disposals

(unless previously agreed), as these items have been excluded from the control total an adjustment is needed to add the figures back to provide the

reported sector surplus/(deficit). This also includes the NHS trust IFRIC12 adjustment for those trusts gaining FT status in year (NHS trust period)

4 As at 31 March 2017, a total of 228 providers have signed up to their control totals.

5 159 trusts reported performance against the A&E target in Q4 2016/17

6 190 trusts reported against RTT incomplete pathway targets in Q4 2016/17.

7

130 trusts reported performance against the breast cancer: 2-week wait target for Q4 2016/17.

154 trusts reported performance against the GP referral: 62-day wait target for Q4 2016/17.

151 trusts reported performance against the all cancers: 2-week wait target for Q4 2016/17.

8 “The aggregate STF improvement trajectories” highlighted for A&E, RTT, Diagnostics and Cancer 62-day waiting time targets are for provider sector

only, they differ to the STF improvement trajectories for NHS England.

Glossary (1/2)

54

A&E Accident and emergency departments offer a 24-hour, 7-day a week service to assess and treat patients with serious injuries or illnesses.

A&E standard The objective that any patient attending an A&E department is seen and transferred, admitted or discharged within 4 hours of arrival. The objective

performance against this target is 95% of patients. If a trust falls below this performance level, it is deemed to have breached the target.

Ambulance standard

Red 1 calls - these are the most time-critical and cover cardiac arrest patients who are not breathing and do not have a pulse, and other severe

conditions such as airway obstruction.

Red 2 calls - these are serious but less immediately time-critical, and cover conditions such as stroke and fits.

Cat A calls - the number of Category A calls (Red 1 and Red 2) resulting in an ambulance arriving at the scene of the incident within 19 minutes.

Admitted patient A patient who is formally admitted to a hospital for treatment. This includes admission that is not overnight, ie day cases.

Cancer waiting-time

targets

A series of objective waiting times for patients referred for cancer diagnosis and treatment. Each target has a different objective performance. The waiting

times for cancer patients are much stricter than the RTT targets, but the RTT targets include cancer patients.

CCG Clinical commissioning group

CIP Cost improvement programme - usually a 5-year planned cost reduction programme to improve the productivity and streamline operational structures to

provide efficient, effective services.

Cost weighted activity

growth rate

The cost weighted activity is calculated by applying individual cost weights based on average reference costs to elective inpatient, non-elective inpatient,

A&E attendance and outpatient attendance activities. This method allows combined cost weighted activity to be derived for different periods, so activity

growth based on cost weighted activity could be calculated.

CQC Care Quality Commission - the independent regulator of health and adult social care services in England that ensures care provided by hospitals,

dentists, ambulances, care homes and home care agencies meets government standards of quality and safety.

Day case A patient who is admitted and treated without staying overnight, eg for day surgery.

DH Department of Health, the government department responsible for the NHS.

DToC A delayed transfer of care occurs when a patient is considered ready to leave their current care (acute or non-acute) for home or another form of care but

still occupies a bed.

EBITDA

Earnings before interest, tax, depreciation and amortisation. This is an approximate measure of available cash flow. It does not take into account the

impact of depreciation, amortisation, financing costs or taxation. This means it can be used to compare performance between organisations that may

have very different levels of capital investment and debt financing.

Elective patient Elective surgery or procedure is scheduled in advance because it does not involve a medical emergency.

High cost drugs Expensive drugs typically used for specialist treatments, eg cancer, that are excluded from the Payment by Results (PbR) tariff as they would not be fairly

reimbursed. Commissioners and providers agree appropriate local prices.

HMT Her Majesty’s Treasury, the government department that fulfils the function of a ministry of finance.

Glossary (2/2)

55

Keogh

Following the Francis Inquiry, the medical director of NHS England, Sir Bruch Keogh, led a review into the quality of care and treatment provided by 14

hospital trusts in England. His report identified common challenges facing the wider NHS and set ambitions for improvement, which seek to tackle some of

the underlying causes of poor care. The report signalled the importance of monitoring mortality statistics to highlight underlying issues around patient care

and safety. Using the data to identify trusts that are performing positively will also be helpful in establishing and sharing effective practice across the NHS.

The report is available here: http://www.nhs.uk/NHSEngland/bruce-keogh-review/Documents/outcomes/keogh-review-final-report.pdf

Non-

admitted

patient

A patient on a pathway that includes treatment without admission to a hospital; also known as an outpatient.

Non-elective

patient A patient who is admitted for treatment on an unplanned or emergency basis. Such patients are not relevant to referral-to-treatment (waiting-time targets).

Pathway A patient’s journey through an outpatient appointment, diagnostic tests, further outpatient appointments to a potential inpatient appointment (eg for

surgery).

PDC

dividends

Public dividend capital represents the Department of Health’s equity interest in defined public assets across the NHS, including NHS foundation trusts. DH

is required to make a return on its net assets, which takes the form of a public dividend capital dividend.

PFI

The private finance initiative is a procurement method that uses private sector capacity and public resources to deliver public sector infrastructure and/or

services according to a specification defined by the public sector. In the NHS a typical PFI contract involves a private consortium building a hospital and

maintaining it to a defined specification for 20+ years for an NHS trust in return for annual payments from the trust that are indexed to inflation.

PPE Property, plant and equipment, the term used for fixed assets under International Financial Reporting Standards (IFRS).

SAFER

pathway

bundle

The ‘SAFER’ patient flow bundle refers to senior review; all patients will have an expected discharge date and clinical criterial for discharge; flow of

patients; early discharge; and review by multidisciplinary team.

Surplus or

deficits

Refers to the net financial position. See End notes (Slide 2.1), as the calculation of this measure differs between the NHS foundation trusts and NHS

trusts.

Teaching

hospitals

‘Teaching’ acute trusts are those acute trusts that are members of AUKUH (the Association of UK University Hospitals); a list is available at

www.aukuh.org.uk

Waiting

times The time a patient has to wait before treatment; this is termed RTT (referral to treatment) in the NHS.

WTE Whole-time equivalent is the ratio of the total number of paid hours during a period (part-time, full-time, contracted) by the number of working hours in the

period. one WTE is equivalent to one employee working full-time.

http://www.nhs.uk/NHSEngland/bruce-keogh-review/Documents/outcomes/keogh-review-final-report.pdf











http://www.aukuh.org.uk/